4745 Bristol BlvdINSFECTION RECORD
?--CITY OF EAGAN PERMIT TYPE:
3830 Pitot Knab Road Permit fVumber:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:
I
PERMIT SUBTYPE: i'
;i
i;r i:t I 114t;, `ti
- 14 -9 ? ? 0 W
I I , , . I , , ?. , I . , •
APPLICANT:
,
TYPE OF WORK:
_7 Permit Holder Date Telephone #
SEWER!
WATER
PLUMBING
HVAC
Inspection dete Insp. Comments
FOQTINGS
FOUND
FRAMING
ROOFING
ROUGH
PIUMBING
PLBG
AIR TEST
RQUGH
HEATING
GAS SVC
tEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FiNAt H7G
ORSAT
7E5T
BIDG FINAL
pOMESTIC
METER
IRRIGATION
iuIETER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDRaSTATIC
TE5T
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
? crTV OF
3830 Pilot Kr
Eagan, Minn+
,,.,.,, ,..,. ..,
? sirE aoQRESS:
; ? i, $ H t. VO
?i PERMIT SUB7YPE:
. j t•i.l: .
i
i
m
PERNItT TY
Permit Number:
Date Issued:
TYPE OF WORK:
?` ' I ! • i !'? • _ = ? ?', i,•? I f..; I
I
t. I!,.. ? , I I I i ?,
II
?
a
Permlt No. Permit Holder Oate Telephane #
SNV
PLUMBING
HVAC
EtECTR
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
O .
Framing
Roofing
Rough Plbg. ? 46'6
o
Raugh Htg. C 2 7_7
Isul.
Firepiace
Final Htg.
Orsat Test
FinalPibg. Pibg.lnspector-NOiifyPlum6er
Canst. Meter
Engr.IPfan
Bidg. Final
Deck Ftg.
Deck Fina!
Well
Pr. Disp.
?
w ;
II ? *
? ?L'ft?tCa#Q 0f cCCltpatC4
?itij o? ?agart '
Tcpartmeat of Zxibnug,3n0#ertion
This Certificate issued pursuant to the requirements of the Uniform Buelding Code
certifying that at the trme of issuance this strucrure was in co+npliance with the variaus
ordinances of the City regulating 6uildireg construction or use. For the falfowing:
? I ilse L'l=ificatian: $l
'Qn?'i Bldg. Petmit No. 22114
I Occupancy 7ypc W1KI Zaning Disaict RI Type Const. VP7
? owne- oc amta;ng MCDOIVALD -0 M-IMITO[d nmcu 1212 BIZ]EBILL BAY RD .? BtiRNSVirJ F
Suiiding Address 4745 BRISXL RaJGFVARD I.o,.iity L7i B 1, WESXN HILLS 2ND
pata; ?-?-
B . g Official --7
POST IN A CONSPICUOUS PIACE
Address 4745 RRTSIYH InnFVaun Zip 5512 3
... _.
I,ot 7 Blk 1 Sub wssDON xrca.s 2rID
THESE TfEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: /A/ 3 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) V",
Permanent steps (main entry) ?
Permanent driveway
Permanent gas
?`
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof [est caps from the plum6ing system and the shut-off of water suppiy to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler systero. ?
While - City Copy Yellow - Residen[ Copy Pink - Conlractor Copy
231-181?? ? E E ONLY Thia request void 18 moMha fiom validanan dak priMad i/n nthis box.
PLEASE PRINT OR TYPE
Reqiwsf Dak Rough- inspeclion required2 ? Yes ? No
m Inspechon Olher Than Rough-In: M Reody Now Q Will Call
6- 2 0- 9 6 rloo m
ual coll ihe inspedor when ready) I Cate Reody
licensed conimctor ? owner hereby request inspecfion of tfie above elechical work at:
lob Address (Lrwl, Box, or Rouk No.) Gy
4745 Bristal Blvd. Eagan
SecAon No Towmh.p Name or No Ran9e N. Fire Ne. ovnry
Dakota
pm?nt
Kent Pickrell
i
e No.
n
p,
Power Suppliar
Dakota Electric Aildreas
Farmington
Elechiml Conkacwr (C paqy Name)
Roe?ining Electric Conhadar Lcenu No
Ca0 1557 Maskr lic No (Plant Elat Only)
MmL, Addma (Conha or er Pado?minq Immllation
161 Endicott Way Apple Valley, Mn. 55124
AvlhorixadSign n ror OwnerPer(o??fion) i
? PhorwNa
423-4328
EB-00001M10 6/95 STA7E60MD OVY-SEEINSTf1U ONSONBACKOFYELLOWCOPY
A
? REQUEST FOR ELECTRICAL INSPECTION ?
I I Minnesota State Board of Electricity _
1821 University Ave., Rm. 5-12 , St. Paul, MN 55104
* 0 2 3 1 1 8 9* Pnone (612) 642-0800
:"
Home Duplex Apt. Bldg. Othar: New Addn
Commerciol Indushial Farm Remod Re air
/NJ Air Cond. Htg. Equtp. Wafer Hfr. Load Mgmf. ONier;
D er Ran e Elec. Heaf Tem , Service
'k' a6ove fhe work covered by this request. Enter remarks in }his spoce and on }he back of the white copy only.
tiJire Air Conditioner
Calculafe Inspection Fee - ihis Inspechon Reqoest will not be occepted wrthovi ibe correct fee:
Olher Fee aR Servite EMrance Size Fee Fce
Mobile Home Park Stall 0 fo 200 Amps Z 0. 0
Sheef Lig./TraHic $ig. Above 200 Amps ps
Transformer/Generator
INSPECTOF'SIISEONLV
F
AL
E
Sign/OutLne Ltg. Xfmr 2? . 50
Alorm/Remate Conirol
Swimming Pool I herob cem +ha+I In: eck m:bna?ae :wi.d
trrig5fion Boom Rouqh-In ?k
edi
on
ecial Ins
S
TH p
p
Invesfiqafive fee
IS INSTALLATION MAY Fina
BE OR ONNECTED IF N T COMPLEfED WITHINLid O THS.
l?M2 8 2 0 L/
g,
Ree
?? Date I
U
FIM No
Rough-in Inspechon
Feqmred9
0 Yes ? No
NOTIGE: Vou Must Call Electncal Inspeclor
If A Rough-In Inspectwn
Is Reqmretl
I fB04nsed contractor ? owner hereby requesf inspection of above electrical work at:
Job Adtl r( Ro Qry f?
5 on No. Township Neme or No. Rarge No Coun//?/?
C
Oc (Pj?T) /4 Cl1VA I Z
? `r?D N Sf Pho N ? A? D/
/
Power$up ? Atltlress?? '
Ele I Controctor (COmparry NamV
• Co a Lice e
Maili ress n or r Ow aking lnstallabon)
Authorrz Signeture (COnbacrort ner aking In8lellahon) hone
MINNESOTA SiAlG90ARD OP ELECTHICIT/ I THIS INSPECTION REal1EST WILL NOT
Origgs-Mitlwey Bitlg. - Room Sl'/S BE ACCEPTEO BVTHE STATE BOAHD
1821 Unlverslry Ave., Sl. Peul, NN 65704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENClO5E0
10119193 REQUEST FOR ELECTRICAL INSPECTION
? See mstmctions Iw completing inis form on beck af yellow copy
M 2 8 2 3 0 "X" Below Work Covered by This Request
- EB-00001.08
l117.?v
0 + ?
Nim Add Rep. TypeofBUilding AppliancesWUed EquipmantWired
Home Range Temporary Service
DUpleX Waler Heetef Eleclric HeaUng
Apt. Building Dryer Loatl Management
COmm /Indusirial nace Other (Specdy)
Farm Av Conditioner
Other(speary) Contractor5 qemarks:
Compute Inspection Fee Below:
# Other Pee # ServiceEntranceSize Fee # Gircuns/Feeders Fae
Swimming Pool 0 to 200 Amps o to 700 Amps
Transforrners Above 200 _ Amps A _ Amps
SI
flS Inepe:.tor§ Use Only
O T
?
g
Irri ation Booms ?
CI ?
r
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby Rough-in oa `cf-V
certify that the above inspection has
been made.
' oaie
C (
OFFICE USE ONLV
This reQUesl wi0 18 monfis Irom
?j ? ?
/ „? ??? PLUMBING (RESIDENTIAL) s?
Gt3? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
d / aD / 03
D
t
a
e
Site Address ? -74S ALEs -Tb 1-- ZLVJ2 Unit #
Property Owner T, 'P T. [, e, K'Fi l.L Telephooe # ( )
Contractor
Address C77 Ef 2-1" y14wt
City
4
State rn -
-
Zip Telephone #(6)d.;
The Applicant is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Adtlitional consultant fees may apply.
Alterations To Existing Dwelling Unit, including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
Water turnaround (+ 5/8" meter if needed -$12 1.00)
? Other: aJ mc
iz-
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
IR
Water softener Water heater
- - AUG 21 2003 $ 15.00
_ replacement _ addilional ?
6y
State Surc6arge - $ 50
Total $ S '? _ ? ?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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. ,
G ?E „) 6 b 2-5 kJ 1, ?---?
Applicant's Printed Name Applicant's Signature
RE5IDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canstnxfion ReauiremenGS RemotleUReue"v Reauiremenfs
3 registered site surveys shovring sq. R of lot sq, ft. of house; and all roofep areas 2 copies o( plan
(20% maximum bt coverage allottved) 7 set of Energy CaICUW6on.s for heated addNais
ed
2 copies of plan showing 6eam & window sizes; poured found design, etc. 7 site survey for addilions 8 decks
7 set of Energy Caku6ations Addrtron -mdicate ilwr-srte septic system
3 wpies of Tree Preservatian Plan'rf lot platted atfer 7J7193
Rim Joist Defail Op6ons selection sheet (bldgs with 3 or less unils ?
Office Use Onlv
Cert of Survey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ On•site Septlc System
Date 10 / -LL / (03 Construction Cost 05?0(')
SiteAddress 11?Y-;5W "?AvD Unit/Ste #
Description of Work r L2 ? hS 'Ot 10 S ?--k ?
Multi-Family Bldg _ Y)c N Fireplace(s) _ 0X 1 _ 27V f3a "P 4U404
Property Owner Ke- k..± Telephone # 0S 1) -q56 -9bS9
, \P
Contractor ?Ale?1MH A? i
l i
O w+W S T nt-
Address ? (.?2..? 'Z37 S } ? City
State my" . Zip 5 5 O?{ y Tekphone #(°r$Z.) '46t 325Z.
--?
?131
COMPLETE THIS AREA ONLY IF
Energy Code Category
(J submission type)
• Residential
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I 12V
A NEW BUILDING
OLLI _ Minnesota Rules 7672
y 1 Worksheet • New Energy Code Worksheet
Submitted
Submitted
Telephone #(
Telephone #(
Telephone # (
?T
?
r
?
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of 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 he in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
ApplicanYs Printed Name
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-plex O 13 16-plex 0 20 Pool ? 30 AccessoryBldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) O 33 6ct. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuRi Misc.
? 05 03-plex ? 11 10-plex ;ll< 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ; Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' 0 '43 Reroof O 46 WindowslDoors
34RA80IaAmefi01a i 'Demoiftlon (Entire Bidg) - Give PCA handout to applicant
'3,?? ? `?S??t;'.•.: 1`?
Vaistf ?n -??19V Occupancy MC/ES System
,r?,va'} ;1»S1 ^? . ?.
Census Code Zoning City Water
, SAC Un'ds Stories Booster Pump
Nbr. of Units Sq. Ft. PRV '
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth _ Footings(new bldg)
_ Footings (deck)
_ Footings(addidon)
Foundation
Drain Tile
Roof Ice & Water Final
A Framing
\( Fireplace _7C R.I. y4 A'u Test ? Final
}. Insulation
REQUIREDINSPECTIONS
FinallC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retainiug Wall
Approved By .? ? . Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Perrnit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
?
? ?? ?
;k>BzYYF?k?k??N??FMX?:kMYc:??kM??t M:k',%Y•%?Yx:U****1A*1*Y6:qY,S#
CiTy Or- rAcAN
rr.Sr,IF:r:g S 1r::.Rrt*r!r,:_ nO. 778
DATF;; 1.:!./'.0,'78 't7'NEr. 14a::7:56
I!! e
iJAM4: FFCIhI"TC•:R L;t.)N'..ifRUC'iSON :LNC
3R.10 5001 4745 i.R:CSii:ll. 50.00
21"i5 9(:)01 405 k3f•:7:S'ipL 0.50
4
r?
jnta1 ii!_re1p?C AwG1vr^it: 50,.50
Cn f;`d9i'73
l.lf.iliif,: M NAUcv
:'f•Y,c;',tSyY?Y?%Xk7KYf n,k??#'K',7X>n?k.,;?>:'?:>X:7?kM ???kk,h X<?Y:Y?7F:h'?
PERMIT
?a CITY OF EAGAN
3830 Pilot Knob Road
? EagaQ, Minnesota 55122-1897
(651) 681-4675
PERMITTYPE: BuzLozNG
Permit Number: 033810
Date Issued: 11 / 10 / 9 8
SITE ADDRESS:
9745 BRISTOL BLVD
LOT: 7 BLOCK: 1
WESTON HILLS 2ND
P.I.N.: 10-83751-070-01
DESCRIPTION:
Eluilding`P,ermit Type
8uilding Wo)ck Type
? Census Code
/
?
.„ / • ????'
DECK
NEW
434 flLT. RESIDEN7IAL
(l? ?
REMARKS:
PL(1N REVIEWEp BY WAYNF MLLLER.
FEE SUMMARY:
Baee Fee $50.00
Surcharge _ - 58
Total Fee $50.50
CONTRACTOR: - ppplicant - sT. LIC. OWNER:
F'RON7IER CONST 18914359 20060310 F'ICKRELL KENT
14101 FRON7T.ER LN 4745 BRISTOL BLVD
BURNSVILLE MN 55337 EA6AN MN
(612) 891-4359
I hereby acknowledge that T have read this epplication and stare thaL the
information j?s correct and agree to corrrplV With a11 applicable 5tate of Mn.
Statutes an? City of Eaqan Ordinances.
I
Qb9UED 8Y: SIGNATUR
? 3E10 1998 BUILDING PERMIT APPLICA?'ION (RESIDENTIAL?`?' '?
CITY OF EAGAN
= 3830 PII,OT KN08 RD - 55122 n "a7?
681-4695 ? f ? 0
New Construction Reauirements RemodeUReoair Reauirements
? 3 registereC sde surveys
? 2 copies of plans (inGude beam 8 window saes: poured fnd. Gesign; etc.)
? 7 energy plalations
? 3 wpies of vee prcservation plan N IM plaGed after 7/1193
required: _ Yes _ No
DATE: 1 D- Z 3-°I8
• 2 eopies of plan
? 2 afle surveys (exterior additions 8 dedcs)
? 1 anergy calculations for heated addRions
CONSTRUCTION COST; 4 11 Ga D• a 0
DESCRIPTION OF WORK: _ ntw nLer. k.
STREET ADDRESS: 414
iv
LOT: :D_ BLOCK: k_ SUBD./P.I.D. #: W.-"`k A \01ci olS -?`AQJ
Name: P 1 C LytI 1 le{ y1-}- Phone #:
PROPERTY Lasa F'vsc
OWNER
StreetAddress:_4-1QS gV1S-?oj 81vA
Ciry l?Q G 11vA . State: MN Zip: !951 ZZ--
Company: ?Nbv??'1f? Cbnsa-vu c-1-?m-t- Phone #: p3qI-43 S 9
CONTRACTOR
Street Address: 114101 ?vaY1`?'I L? LvL - License # 2 D D 1p D 3 10
Ciry gu.V vl Sv I ? 1'e-- State:
ARCHITECT/
ENGINEER Company:
NI iq
1'1 tJ
Phone #:
Name: Registration #:
Street
City
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
zip: 553 3 -7
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and sTate that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant: 0? - vVVY?,S
OFFICE USE ONLY
Certificates of Survey Received Yes No =%
L
Tree Preservation Pian Received Yes No Not Required State:
:
•'J._
? * NN2422 EnterpriFS L'rivn,
=!I?iyeE?1 h Mendota Heights, Mrl 55120
c?:?.?_?_ LAN9 SUNVEYhRi . C??il ENGMEERS A?(612) 681--1914•FOx 681-948$
engineimring ANO PLANNExS • innuscnrc aeanhcTS -- ?'--• ---Y°-T,==
625 H(ghwuy 10 Norkhaost
BIO1nE, MIJ 56434
(612) 783-1880•Fox 783-1883
Certificate oP Survey for: MCDOriCIId Construction I f1C.
House Address: 4745 Bristol BoUlevord. Eagon MN
Madel Nnme:
CUStomer:
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? MEY. -422.00
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NOTE ONTTAC70R MUST
VERIFI' ALt. b/NSIONS ANO ORIVEWAY DESIGN
¦ ?•o Denotes Exlsting Elevation
Denofes Proposed Elevatfon PROP05ED HOUS_____E EtloEypT10N
-= Denotes brainnge dc Utility Easement Loweat Fioor Elcvon:939.75
Denotes Drainage Ffow Diroction Top af Block Llevatlon:947,86
-- - benoteg Monument Garage Siab Elevatfon: 946.63
I---?- Denotes Offset Hub Bearings shown ore --• -
--OT 7 , BLOCK 1 09sumed
WESTOLLS 2ND
DAKOTA COUNTf, lAINNESpTA
1 hd46y CHdly thap (his survey, plan or rgporl Vroes prepend by ma or ur,dyr m,
Id6r IAB IBV!{ Of lh4 SSAlq p t?i??peyo?p, [?,ytp? t??y t.f1 l direm supervilion and Ihat 1 em d?ly qvfliatvred Lend Survcyp.
eO, sco; °a/?S?noa NouseFuPr•??.co,Y????Pf ..4.n.???,.
Inch _
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( 17. aEO. 4od 991
GITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
B?ff.ldin _ Permit Type 3F DW6
11 uilding rk Type NEW
OBC Qccup.anc R-3 M-1
Construction 7 e V-N
Zoning ? R-1
Building length 70
Building Width 32
BUILOING
022114
10/04/93
SITE ADDRESS:
P.I.N.: 10-83751-070-01
4745 BRISTOL BLVD
LOT: 7 BLOCK: 1
WESTON HILLS 2ND
PERMIT e? J yo? ?-
PERMIT TYPE:
Permit Number:
Date Issued:
DESCRIPTION:
???p W cagan
REMARKS:
PRV S & W PLBR -
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
5AC
sac %
SAC Units
Subtotal
$2,162.65
$149,000
MISCELLANEOUS $1.744.50
Total Fee $3,907.15
CONTRACTOR• - Applicant - ST. Ltc
MCDONALD CONS7 INC 14327601 0002376
7601 145TH ST W
APPLE VALLEY MN 55124
(612) 432-7601
OWNER:
MCDONALD CONST
1212 BLUEBILL BAY RD
BURN3VILLE MN 55306
(612)432-7601
? , .
I hereby acknowledge that I have read this application and state that the
information is corr-ect and agree to comply with all applicable State of Mn.
,
SCatutes and Eity af Eagan O.rdinances..
L----- - -- .. _ ._
L -- ...--- -- - - -- - -- '?? 1?" "'? ? 1(k115 01A 1 IILA - -
A PLICANT/PERMfTEESIGNANRE #550E`D BYISIG ATURE I r1
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euiLoirvG
3830 Pilot Knob Road Permit Number: 022114
Eagan, Minnesota 55123 Date Issued: 10 / 0 4/ 9 3
(612) 681-4675
SITE ADDRESS: LoT : 7 B L 0 C K: 1 APPLICANT:
4745 BRISTOL BLVD MCDONALD CONST ZNC
WESTON HILIS 2ND (612) 432-7601
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
lo/u /9 --?
NEW
- j
FOOTING .. .
FRAMIN6 .•
INSULATION FINAL
FIREPLACE
REMARKS: PRV 3& W PLBR -
? - - - - - - -- - - - ---- -- --- -- - - - - - - - -
± ?•
VALUATION
$811.00
$527.15
$74.50
$750.00
100
1
-- - - -?
REACTIVATE _ ?????D CITY OF EAGAN
PERMI? ?. 1993 BUILDING PERMIT APPLICATION ??
' P 2 0 1993 681-4675 ?
.
-- --------- -- ?? ?:•r
SINGLE 8 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
specif9cations, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not plcked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work t l (q) . 000
Site Address: A47'r'15 13 R`S d` bovle A2.
STREET SUITE f
Tenant Name: (commercial only)
IAT
I
BLOCK
FSUBD. 0Cs On ? S
P.I.D. 0
Descri tion of work:
The applicant is: ? Owner )9- Contractor ? Other (ues«;ce)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State ZiP
Company e '1-v. ? Phone -'43a (3 t
Contractor Address lall A (oeh;RE})l Rd License #40Qa3)(. Exp.'7f/_
City vR a ?Ak,r State M r` Zip S5?
Company Phone
ArchitecU
Engineer Name Registration #
Address
C;ty State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPplication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Ea9an Ordinances.
r
0 ^
G
,
?-??
Signature of Applicant:
OFFICE USE ONLY
BUILDING PEFIA IT,TYPE ? '
?"` y? -
? 01 foundation 0 06 Duplex 0 11 Apt./Lodging t
O-16 Basemfn"rFi'°nis?i
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
03 SF Addition ? 08 8-P1ex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
E3 OS SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
M31 New 0 33 Alterations ? 35 Tenant Finish ? 37 Demolish
0 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) v-u Basement sq. ft. MWCC System
Allowable) ?-N
S
lst F1. sq. ft.
City Water
x SS
UBC ccupancy Q-a N,? Znd F1. sq. ft. PRY Required ?
2oning 9-1 Sq. ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkl er
Length ?o ? On-site well Census Code 10l
Depth 32- On-site sewage SAC Code 01
APPROVALS ?
'
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site O Footing ? framing 0 Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee v.iu.c;on: g I?l`1? 000
Surcharge
Plan Review GqRA? ,,
32 xa2?'loy
License 2 X 124 (z14)
CWty SAC 8g?- 66oXlt? = l0,680
Water Conn.
Water Meter
?bx 36
Y g88
Acct. Deposit I 2 x IZ ? 1yy
S/W Permit Ll X lS, % 60
S/W Surcharge
Treatment Pl. ------
i I q 2 x?5? f 7, 4s k?
Road Unit
Park Ded. ? -
Trails Ded. ps+wr= 1 !9 2
s
Coi
Other
Total : I2b9 x?`I - 6?, 2 3 2
SAC % ?
it
SAC U Z N u FL eari?.. ?
5?
a8
n
s 38
,
i
8 ?
a 9
t z 5 ;? ?
0? 0
I
I'
x
? ; ?
11 1
?plI X5
f'. ?J?
LA'1D SUNVF,Y?iFi_
LAND PLANNERS • lAN
?tlglfl@L*.t'111g
2422 Enterpxisr, GrivA
Mendoto Heighl&, MPl 55126
_
(612) 681-1954•Fax 681-9488
Fo?25 Highway 10 FlorkhEOSt
I Blalne, MN 55434
1(612) 783-1880•Fox 785-1883
Certificate of Survey for: MCDon(3ld COnSt rUCtlOn, IrlC.
House Address: 4-745 Bristol Bo«Ievard Eagar . ML
Model Name_
Cu stom er:
N
o?
a?
coto
?
?v
.
m <
0U
? ?.,_-?
1ry? / ? p3d.6??
?.?'?c,`Y?-?'1 ti«?/a?;? `?3 •"s`t i\ ?
y? y?YJ? %` ?y+ `t* > ?y?LtJo
Ca '? 'k? i'•.2 k. <?qy3 / ? tv,eg
r ?f ?^ .'??• x' cs?b.5)
"QI, \ q 4
% I
? 94i.3 'N
? `y"1
@ ti
? ? ? ? F ? / ? ? ?h
Irl ; v ? ... __?....___?....m
aa+o
fl[v.-o220o
o ry?F, s? ? ,: ; ,• ;.
i /? ° a?o ? ? L?-7 ",...tS ???? L?'i? ?? ,' - :
NOTE:'CONTI?kCTOR IAUST VERIFY ALL Di NSIONS ANfl DREVEWAY DESiGN
. aaa.o Denotes Existtng Elevatlon PROPOSEP HOUSE ELEVATION
K Denotes Proposed Elevation Lowest Floar Elevatlan:939.75
- Denotes brainuge dc Utility Easement Top of Block Etevatlan:947.86
- Denotes Drainage Flow Diraction
-- - Denotes Monument Garage 51ab EIevatlon:946_83
.--o- Denotes Offset Huh Beorings shown are assumed
L0T 7, BLOCK 1 WESTON NILLS 2ND
pAKOU COUNTl, tAINNESO7A
I hereby certify that this survey, ptan or report tves prsnered by rna or undar mv duer,t supewi9ion anrl tha[ I em duly Rxqiatsrsd lend SurvFyO,
under Ibe lewe al the S alc G Minne;ola. Garetl this ? day nl ?5 5 P'r,_ A.D. 13 _2?) .
j?Sl°i'? Nouse FuPf°?r
x';' A
1 tn 4 0 ch_ Ssat .";, • . •• ?,
?
LOT SIIRVEY CHECRLIST FOR REBIDENTIAL
CATION
L
BUILDI PERMIT AP
m
W ? P?
)
gn
Date of survey: d
2 nocvMErrr aTaxnAxns
2? 13 0 • Registered Land Surveyor signature and company
? ? ? • Building Permit Applicant
8'0 0 • Legal description
? 0 • Address
$? ? ? • North arrow and bar scale
'8', ? 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
H?'? ? • Directional drainage arrows with slope/gradient $.
B-- ? 0 • Proposed/existing sewer and water services
? ? ? • Street name
@? ? 0 • Driveway
ELEVATIONB
Existina
p IT' ? • Sewer service
C'1' D ? • Lot corners
0' ? ? • Top of curb at the driveway
D 0? 0 • Elevations of any existing adjacent homes
Proposed
H' D ? • Garage floor
[a' 0 ? • First floor
[3- 0 0 • Lowest exposed elevation (walkout/window)
p- ? 0 • Property corners
D- 0 0 • Front and rear of home at the foundation
pONDINa AREAS (if apDlicable)
? ? ? • Easement line .
Hf? ? 0 • NWL
L] ?
- ? • HWL
0/0
[f • Pond # designation
D 0 O • Emergency overflow Elevation
?fJ ?] ?
?' 0 0
br'0 ?
?? 13
D 0 ?
0 ?
October 19
DIMENSIONS
• 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
.:- s?djzooa rrovi:so ss-oe-so asxoo aznxoaon xee-x
' MIHHE? smAm? EHERGY CO? CALCU; ,.,"?i S
' HASED 4N CHAPTER 5 OF 'i'HE -4??
• MOdL'+Y. F.NERCY OD . - 1,9ga EPTTTOp1
, Adoption EPPective t ?
f? • . ?? G
omner____/-.?S;•1SR?L-G- . - ' • Phnn.a l7ate
S,(t9
c
Buildinq Classi£icarion: Type A1 (Single Family &
xype A2 (Residential, 3 stories or less)^(dvsr 3 gtorias)-(Other)
NO'1`S' Comolate paaes 3 and A??g?,
?iEHLRAL_IHFORMATION
?y?f
.YiC1 ?
?i „ dv5k1'J
1. Building P¢rimeter tt,
2. Wall hei.ght (ground tn ¢ava)
1. 1. X 2. (above) gross wall ar2a r1?12 Z? sq.ft.
4. Bui2ding dimensians (L)---::?X(W) ?= 1?v sq.€t.rooE & flaax aarea
8. Sq. toot area of rim joist - F oox joist sl.ae (2 x1A )
X ?(petimeter) 21? sq.Et. 12
6. Doors - Area
Thickncss' tn U. faator 11
Type of Construct on Perimeter !t.
. • Hanufacturor
7. Total door's perimetier eY.
8. Windowa: Manulackurer ?7UV C.SF'??0??• .Stateapprovad
U £actor ..??
TYPF3 ' 6ISS AREA (Sq.Ft. ) 1tUMHEFt OF TOTEL
EACH UNITS SQ PBBT
?
9. Totiel eq.ft. Gxass "1,LG. .
10. Fireplace area: Width X Height = X ° s4•ft•
11. Psxposod Eoundatl.ont .He7.ght R Ferimaler?X ??+'= ;-!?-! s4-£?•
C4MPLETIOtt OF THIS FORM I8 REQUIRED FOR AI.L NEW CONSTRUCTYON, MAJOR
RElSODELIHG AND SUILDTNCS 6EING HOV$D S41IERt+ EtiBRGY F OTNER THAti THB HIFtIMAL
CODIR ALLOS4ANCfit 23 USED.
-1_ ,
Z0d 9591i 9021,-889-ZS9?ON 131 '15NOJ QltlNOQ7W:0 sti:ee nru EG,-0£-d35
- sztt i?ooa renror so se-oe-eo •ssxo? a?vxoaa? %es=x
12. Framing area m 3.03 ,;, gxoss W811 area. ( ?'?9? ?•/?:? .'
ia. cross wal.l aree I._(p7s, J gq,gC,
Window area A_L?D?? . 6q.ft, U windowa
Rim jaiet area
A,?CJ 6q.ft. U rim Joist=_1211UxA m- ?
Ooo1C axea ? sq.ft. U doar srea- 114 t1xA =?
other doozs area A40 sq.Yt, U othex dooxe_,.yA:D._ UxA R?
lixposed Pndn A ?sg,[t, U foundation= / 6 uxA =
Preminq area 04LL1 *_I?qq, Eti, U Eraminq area='0 UxJ? -1277
. Tiet wall area A I• sq.Et. U wall-___ 1.04'3' , UxA a
(13H) TOTAL . . . . . . . . . UHA = 3
14. ccoss wall area x 0.11 (A-1 singxe tamily & duplex) ? allawabie uxAJCOde
(17, abqve)
x 0.23 (A-a ather reeidential) ' •
x .27 (qkher buildin
x .28 (Over 3 ea)
H must be kazger Yhan ofC same
A- x U Code ??! °F. aa 138 above
15. Ceiling fraiainq area (A,) equals 10% af ceiling area
15A. GrosB ceiling area =(?) ? x(W) b00 sq.ft.
198, Jaiat area (Af) a lo; oeliinq area a-62sq.it.
18C. Nati ae1ll.nq area (AG) (15A ?I58) sq.£t.
u oai1inq x A r - D a x 02 -?_?? .
Ll Praming x Af
150. TOTAL U X A.,.o............. .o .........
.?
16. Celling area (15A) x 0.026 (A-1 gingle family & dupleX)
m allawable UxA/epde
x 0.033 A-2 other residential)
x 0.06 ?othe
BTUH fiust be laxger than or eame
A(15A)u Code tG>? °F. ss 15U anova
NOT6: Usa U ana A valUes obtained RICOm pages 1, 3 and 4.
PEHmiFieUIOHs I her4by eertiiPy tAati i hsva aaleulated the "u?' factors end
"K?" valUee heXeln ana that the bUilding here desarihed meets or eXC9ede the
stata of Minnesota Energy Conservation Acti. _
Date
gnature
--$..
z0d 959# 90ZL-889-ZT9;0N -81
15NDD Q"ltlhIOQJW:QI 65:60 (GiL fl6,-9Z-d35
;_itJ 1562 f;Ii,lft"--J SHUr;7 FUI;I'1
:Jr.+b H: {atg
F"or-: Mt=qUIVALID CC)IVS'T'. (F'Af•:}:;VII"l4 ?) Outsidz db -12
Insir.lce clb 70
Desiyn l"ll 82
Daily Fange •-
Inside Humid. -
F,ty: COlVI'F;UI..I..E:.D A7ri Grains 1datFr _
309 2nd S'i i-:t=E'f
FAr<MIfJt3TOI4 r9N 55024 Con=.t. G!uality
IT ?f l=irepl ;ccs
HG:RTItJG EQUIf-•I•lEIJ7
Pi.,=.i;a ARCUA7RE
Miydo1 GNI100
TYpea fiA'CUh'tAL GA3
£ificie ncy / !-1SI-'F 0.0
;?e„C3ng Input rJ Stuh
}le?ating Oi_itpui: Q Lituh
Iieating TemEs f;ie.e Ct UF•g F
Aciiial h1oatinq F:.n 1338 (':FM
Fli'q F,ir Fiow Far_tor 0.022 LF"M1Dt.uh
Sp<>.c:e 'ihc:r-rrros'tat
f:OCIt..TNG E"(]I;IF'1'1cIVf
Ma4:e
I`ii7lj c,=1
ryPL'
ror-•; t:.r:F:isr::E;;
3cznsa,ble Cooling
L_ate:.nt Cooling
Tot21 Cooling
f}ctual Cooling Fr.n
tilc3 flir (=1nia Factor
czg
59
75
14
i`1
51)
13
a
{>
n,n
U l:;t"h
0 Deg F
13?•9 CFM
h.p;,:i Cf-'M1Btuh
l_oad Sr:nsi,ble Fient Rrii:iq :th
RUOm t•dAt•tE 1 +,RF..:A I i-iTG ? Cl.l:y i H'ft' I CLG
i '3t;l.1=f. I b'fUll i bT'Uli i GFM i L'F11
_
?'??:] TFf F:r1 --
i --?---------
<Ji --
1 -------? -
!ri2!a -----
1 -------^ -
17S5 -_._.
I .------
87 --
' - -
] C,J
M31 R BAIi{ i 130 ? 1 .T50 i 555 i L? i S:J
DY. i H Rl?l i 130 i 1. 5 117 i 655 1 29 i 7'?5
t,r• xt ; 163 ; 3, 2 02 , i?", 6 7 ; 69 1 F34
i;Ft #2 ; 224 ; 5369 . 2753 I 116 ; 147
F:;R tic; t 204 1 3::57 i I619 , 72 ; 37
F-AI171.Y Ri`t t 196 ; 5524 I 2767 ; 119 i ].qCi
L}I!'vf=l Tl' S 144 1 5903 I "S:?b!) ? 129 t 1;1O
K I TCF 7f3N { 120 1 isl].a ? 3697 ? 41 I 108
i)IIV?NG k11 ? 132 i 3843 I 2011 t 23 i 108
L.IV]N6 FN ; 210 t 4066 I lut:b 1 14:; : 431
ri;,vr-_,; i 154 { 3`J::1 ? 712 ; 85 ; 39
11::' Et!1'fl-1 f 413 I 1123 , 334 I 24 ; 18
l.f.!JNS)RY F:14 t 56 I 2821 t =;ts'i i 62 , 21
F:SI•17 1JP;FiNISI;C:,D ? 1024 t 13?81 ? 1203 I 287 I 64
. _ . _.._ _ . ....
E.ntire ttouse ..,._._._
i .__.....-•-•--•'-'-
3192 ----
t -......----.._..._
61963 _._....
S -'--"---._._._...
25409 ._.__
t .---__.___
1318 ._._
t
13:9
Erp.iip. rd 0.95 FSIM ; I I 24130 i ?
Ve.nt7laticrn F:ir i 1 2 2"5j `, 1 385 i f
1_a«nC Cool i ng 1 ? . 4619 1 ?
.........._.. _...._.?.. _..---....... --
I
t.i-.LS --.. __.
; .._.._
_ti? - -
"i3?? ? ---
•, -- --- °--
V42:2Z --°--
; -------__-•-_
28757 _ .__
1 _.-'------
1333 ----
i _...._.
1138
1'qANUAL J; 7th Fd. F11:,Ii7-J: V1.66
lw? d
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIIZED FOR EACH UNTT.
NO. FIXTURES
SHOWER
? WATER CLOSET
BATH TUB
LAVATORY
KTTCHEN SINK
LAUNDRY TRAY
HOT TUB/5PA
WATER HEATER
FLOOR DRAIN
? GAS PIPING OLTTLET • mioimum -
ROUGH OPENINGS
WATER 50FTENER
PRIVATE DISP. • DakCty. Lc.
U.G. SPRINKLER • homo uneer oonsc.
ALTERATIONS • to existjog
WATER TURN AROUND
EACA TOTAL
3.00 ?3.0o
3.00 `?t tl n
3.00
3.00
3.00
3.00 ? . rks
3.00 ?
3.00
3.00 ?3, 00
3.00
1.50
5.00
15.00
3.00
15.00
15.00
STATE SURCHARGE
TOTAL:
SITE
OWNER N
INST
CITY: C/O blct o, ?y' Y-Y) U ? STA
.50
'0, Ud
?rl , ZIP CODE: ?SU/ 6
PHONE #: (?fa )
? .
SIGNA OF PERMITI'EE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
4 :.w
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN YERMTIS ARE REQUIRED FOR EACH UN1T.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE I.?) -1 f ," 1 /
FEES
NVAC: 0-100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6.00
GAS OiTTLETS (MINIMUn4 t@ S3•00 EACH) ? ?g'cc
ADD-ON/REMODEL (ExISTING CoNSTRUCi'ION) $ 15.00
STATE SURCHARGE .50
TOTAL 3 -So
SITE ADDRESS: 'i?
?
OWNER NAM_E.?a
INST.
;? •
CITY
TELEPHONE #: ?
TELEPHONE #:
STpTE; M N) ZIP CODE: `a ?
1993 MECHANICAL PERMIT (RESIDEIV77AL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 681-4675
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
?f1 ? ?? 651-681-4675
V
Naw Conakuetion Reaufremema
• 3 regmtered sile surveys slaairg sq. R of lot, sq. R of house; and a-li rooled areas
(TO% ma¢imum lot coverage alloweE)
• 2 copies o( plan strowing heam d vnndow sizes: poured found desgn, etc.)
• 1 set of Energy Calala6ons
• 3 copies o1 Tree Preservatlon Plan rf lot platled aRer 7l7193
. Rim Jaist Detad Optlons selepfOn sheet (hlAgs vnth 3 a less unib)
DATE c_?' ?)0r D??N
SITE ADDRESS
TYPE OF
uinmenq
• 2 mpies of plan
. 1 set of Errergy Cabilatians fw heffied addAions
• t sNe survey for extedor additrons 8 Aecks
. indeate if home served py septic system tor additlons
_ VALUNION -12D LP .5S
BLOG _ Y _ N
FIREPLACE(S) _ 0 _ i _ 2
APPLICANT Coft Va1ley ExEeriors, inc.
STREET ADDRESS Coon flaplds, MN 554$3 CRY STATE_ZIP
TELEPHONE #??Fi? a(?I CEII PHONE # FAX #
PROPERTY OWNER TELEPHONE #f/N -?'7lOS?J
------------------------------------------------°°------...------°----------------
COMPLETE THIS SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLJLES 7670 CA1'EGORY 1 MINNFSOTA RULES 7672
(J submission type) • Residential Ventllatlon Category t Workshcet Su6milDed • New Energy Code Worksheet Submitted
• Energy Envelo0e CaIwlaUons Submilted
Plumbing Coniractor:
Plumbing system includes:
Mechanical CoMractor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
I hereby acknowledge that I have read this application, state
with all applicable State of Minnesota Statutes and City of E<
Signature of Applicant
OFFICE USE ONLY
_ Water Softener _
_ Water Hea[er _
_ No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Phone #
Fee: $70.00
=fY1????
Phone # II
l
is
Certificates of Survey Received Tree Preservation Plan Rece'rved _ Not Required _
- Updaled 4102
4111111
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
1IL5o' -
Permit Fee:
Date Received: 1-21 j - (i3
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
eSlaen
Ownl r :3
Name: h e. Q `f-'6 (�`k L.1 �',/t d 7 G C, w``� -1 Phone: t ( — -'`N
q �j. _ %'
M ��
Address / City / Zip: 17 of ,/
r C -'d
Applicant is: Owner X Contractor
TYpe'0 Oar
Description of work: (A) 41/ <-1jt.9-9` ' i 4 lt(.Sr)
Construction Cost: (0X0 Multi -Family Building: (Yes / No Z- )
=
Co tractor
Company: j t ''(..'c U4 ljz r'4J<<-7$4K.('8ntact: t 1, 6 (CO
Address: `18l 77) i'i'l ,e, f City: ` 11— (3,-.5. T4.I
State: A t/ Zip:ej Phone: (�; % z - Com.} 6316
ffJJ
License #: 6z,3 3 Z� .7‘.. Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plansand u at gr ocu ea y u ubrefit ar, Considere o ' e iu is n€'rma'tion o ins oaf
the information m 'be classi e • a6 public if rou prtvide�spe lb re soth t rou • th i o
:` 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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x it G iG� l
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130350
Date Issued:04/20/2015
Permit Category:ePermit
Site Address: 4745 Bristol Blvd
Lot:007 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-070
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 .
Description:Remove and Replace 32 square asphalt shingles
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 -
Kent R Pickrell
4745 Bristol Blvd
Eagan MN 55123
(651) 470-9951
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
Cit of Ea an
Permit Type: Building
Y g
' Permit Number: EA132000
3830 Pilot Knob Rd
Eagan,MN 55122 + Date Issued: 07/20/2015
(651)675-5675 � � � ��Permit Category: ePermit
www.ci.eagan.mn.us
Site Address: 4745 Bristol Blvd
Lot: 007 Block: 001 Addition: Weston Hills 2nd
PID: 10-83751-01-070
Use:
Description:
Sub Type: Siding Construction Type:
Work Type: Replace
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Contractor will call in to swap address 7/20/15 sb
Improvements to the home require smoke detectors in all bedrooms.If altering window openings or installing Bay or Bow
Fee Summary: BL-Base Fee$4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge-Based on Valuation$4K $2.00 9001.2195
TotaL• $105.25
Contractor: - Appli�ant - Owner:
Property Claim Solutions LLC Kent R Pickrell
2005 Pin Oak Dr 4745 Bristol Blvd
Eagan MN 55122 Eagan MN 55123
(651)994-2028
I hereby acknowledge that I have read this application and state that the information is correct and agee to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132181
Date Issued:07/29/2015
Permit Category:ePermit
Site Address: 4745 Bristol Blvd
Lot:007 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Kent R Pickrell
4745 Bristol Blvd
Eagan MN 55123
(651) 470-9951
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature