4712 Bristol BlvdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4712 Bristol Blvd
Lot: 15 Block: 4 Addition: Weston Hills 2nd
PID:10- 83751- 150 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
e - Water Heater
Replacement
Water Heater
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
Kim Renville
2200 W Hwy 13
Bumsville, MN 55337
Total:
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Kurt N Soeldner
4712 Bristol Blvd
Eagan MN 55123
Serial Number Remote Number
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4087
$0.50 9001.2195
Issued By: Signature
Plumbing
EA082944
05/08/2008
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
INSPECTIO
CITY 4F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
? !u; ? q?rit Ils l ? . :?Iddi
PERMIT SUBTYPE:
;C4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
t h,T ist b rr ?- kf A
TYPE OF WORK:
F'?! a 9 }
I' +') 4 ) ! f ta 1, , I 1 I' 1 .1 nl A ?
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBItVG
HVAC
Inapec8on Date Insp. Comments
FOQTI NGS
FOUND
FRAMING
ROOFING
R4UGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
'
GAS SVC
TEST I
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TE5T
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECIC FTG
DECK FINAL
!
` CITY OF EAGAN
3830 Pilot iSnob Road
Eagan, Minnesota 55123
(612) 681-4675
'E ADDRESS:
i. r_ ,' t, i;ii rtL`Jli
f.il , { Iijd i11 ! k '- ,'N Y!
PERMIT SUBTYPE:
APPLICANT:
TYPE OF 1NORK:
r, 1 I..i
INSPECTION D, . ..
:
itl4?. ? ! ?'a !' . .
N i{
E tP?lf1} f +?ai? t ?,.t;,?
,[IP! ?'1tli!- 1 () F+ '?,1et. 11:''f 11 1 r.lEyI•t INli? I'i?
I
F, 6 TI
i
"
I,?F?.«i
?
vsP?cTIoN ?coRn
?` PERMIT TYPE:
Permit Number:
Date Issued: ? ? ' ,? < /'+ 4
Permk No. Permft Holder Date Telephone #
SNN
PLUMBING
rivac
ELECTRI
ELECTRIC
Inspection Date Insp. Comments
Footings I 6/
r ?W
Foundation
Framing
2
Roofing 2
Raugh P16g.
Rough Htg.
Isul. p
O
Fireplace
CF?ZJ
Fnal Htg.
Orsat Test
Final Plbg.
L Pibg. Inspector - Notity Plumber
Canst. Meter
Engr./Plan
Bldg. Final c?S 2 6!
d J ?
Deck Ftg.
Deok Final
Well
Pr. Disp.
?ry?.H,
:
?.
1
_ ? ?: . -?.., . _ _.__. . ,......
&rtificate pf Cccupanc#'
6it4 vf 0agan
Ize.partuceut uf Zxaaig 3ui3vectian
This Certificate issued pursuant to the rrquirements of the Uniform Building Code
certifying that at the trme of issuance this stnrclure was in comptiance with the various
' - ordinances of the Crty regulating builrling construction or use. Far the followirzg:
Use ClassiFicalion; SF M $ldg. Permit No. 23653
0-r-r ryee To /M? zoning n,suict R? Trpe cans(. VN
owwt of suiiaing 1S3MES BY G3ASE Address 2500 w 7Y iM 42, B'VILiE
Building Addrcss 4712 BRIS?.? BOULEVARi7 ???ity L15' B4, WESICAV HILI.S 2PID
,
, . ;
a.. ? ;
POST IN A CONSPICUQIlS PLACE
Address 4712 a_rusmi, acxLEvARD Zip 5512 3
I.ot - 15 Blk 4 Sub ws.snDN HILts ZrID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: SJ 3 ICt Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded gass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
ContaM engineering division at 681-4645 before working in rightof-way ot installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Conuactor Copy
8/1 / 5
aI, .
W4 2 3 " '175 ro
4
Repuest ah
/ ire No i v n In Lon ReQwreO
ust nspa por when reaEy) Ins ectlon Otheow? Nr Than RouphWill-In
? qeatly NoVly In50eetor
? Yes ? No Date Reatl
I?nsed contractor ? owner hereby request inspection ot above electrical work at:
Jo0 Ntltlress (Slreet Box or Route No ) Ciry
Settion No Townsnio Name or No Range No Caunry? ?
Occ.Pant (PRINT) ^ ,
? P pp ?1?? ?? ?
-LQ ?.A
I V
Powe. soPOhe. ndara?ss "
Elecmc Contractor(COmOany Name) ConVaoor's l,cense No.
0 13 ?
Irng Oress ICon[r or or Owner Ma ing Ins?al ?ion?
'
s3"?o 6
A. o ed 5qma,u,e «,m„ac,o.,owna,
? /? ng InsWllaUOnl
r?v Pno?? ey J?
MINNEvi STnTE BOAflD OF ELECTPICIiY
Gtlgqa-MlEwey BICg. - Room S-173
1821 University Ave., Sl Paul. MN 55104
ihone(B1Y) 602-0800
1HIS INSPECTION REQUEST WILL NC
BE HGCEPTED BV THE STATE BOARO
UNLES$ PROPER INSPECTION FEE I$
ENCLOSED
g'/? /C?r [? REQUEST FOR ELECTRICAL INSPECTION
? 4Z344 li? ?e inslmqions br completing ihis form on back oi yellow cropy
u'X" Below Work Covered by This Request
EB-00001 B
ew AJtl Rep. TypeofBudtling AppliancesWired EqmpmentWvetl
Home ange Temporary Serv
ice
Duplez Water Heater Eiettric HeaHng
Apt Builtlmg Dryer LOad ManagemeM +
Comm /Industnal umace Other (SpecHy)
Farm Av Conditioner
Other (spenryl Concrectorb Remarks
Compute Inspechon Fee Below:
# Other Fee # ServiceEntrence5rze Fee # CircuitsiFeetlers Fe
Swimming Pool 0 to 200 Amps If 5- [Lel D to /00 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Slgns Ins{recror9 use OnN TOTAL
Irtigauon eooms ` C?G ?
Special Inspection ?
?J
Alarm/Communication THIS INSTALLATION MAY BE OH ISCONNECTED IF NOT
Other Fee COMPLETED WIT IN?B MO
I, the Electrical Inspector, hereby
hd
th
t th
i
b Rough-m
i
ce
y
a
e a
ove
nspechon has
been made
F,n,i a ??
,,?,•?.. ,•:,r:?
oa*
OFflCE USE ONLY
Thi5 request voitl 18 mon[hs Imm
REQUEST FOR ELECTRICAL INSPECTION
<.
See insVUMlons for cnmpleiing this form on back oi yellow wpy.
M 42718 X" Below tYOrk Cdvered by This Request
??:' EB-00001-OB
e E°•P. TypeofBuiltling ApphancesWiretl EquipmentWired
Home dnge Temporary Service
Duplex Water Heater Electnc Heaung
Apt. Bmlding Dryer Load Management
Comm./Industrial urnace pther (Specdy)
Farm Air Condiaoner
OMer(specity) Conhaclw5 Remerks.
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feetlers Fae
Swimming Pool 0 io 200 Amps /Sjj / to 100 Amps
'
Transformers Above 200 _ Amps Above-100-ArrW7
.
SignS Inspector5 use Only TOT
Irtigation Booms
? 0 ? s(?
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in o?
certify that the above inspection has
been made. F,nei oa?
OFFICE USE ONLY
This requect witl 18 monihs imm ?? I°? ?Icri'??^ . ?? ? f.? (?J ""?r"?'?p "•"
v
A
4 718
Requeat Dele Fre o. Rougn-in Inapecli n
Fequired7 NOTICE: Vw Must Call Electncal Inspeclor
If A Rough-In Inspection
( Ves ? N. Is Requrretl
i0licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (SVeet, Boa or Route No )
47/a 6,--csij?v? a?u d, City
?..
Sectbn No. Townslnp Name or No Rarge No Coonu?
Occupant (P IMJ'
?r es' Phone No
? S- S3 3 7
PowerS
Upplier
Atltlrese
EKOI-I /
Ow? /"E8llPYL-
Eledrical Comracbr (COmpe?ry Nema)
6 onVector§ Licenae No.
C?9-d/30S<
Meihn,g /A,ddrea?s (/COnhaclor or Oxner Making Installatbn)
7/ J o i(..c?70
AuNonzed S n;Wre (ConVaclor/Owicer MeWrg InslallaUOn)
?> Phone NumDar
7d J/- r'So a
MINNESOTA STATE BOARD OF ELECTPICITY THIS INSPECTION REOUEST WIIL NDT
6 Eg. - Room 5773 BE ACCEpTEO BYTHE STATE BOARD
Z9 ., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE I'
800 ENCLOSED.
???s -?
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWC6on Reauiremen5
3 registered site wrveys showing sq. ft. af l04 sq. ft. o( house; and all roofed areas
(20°k marimum lot coverege allowetl)
1 Soils Repoft if proposed building is N be placed on disNNed soil
2 copies W plan showing beam & wintlow sizes; poured tound design, etc.
1 set of Eneryy Calalafions
3 copies N Tree Preserva6an Plan rf lo[ platted aNer 717/93
Pom Joist Detail Op4ons sdecGon sheel (buNdings wilh 3 or less umis)
Minnegasco mechanical venfilation fam
RemodeUReoair Reauirements
2 copies of plan showing foo6ngs, beams, Jois5
1 sM of Energy Calculations for heatetl additlons
1 site survey for additions & decks
AdcUb'on - intlicafe if onsite septfc sysfam
(30 '?'
'&#mm
??3
Office Use OnN
CeAOfSurveyRecd ' _Y _N
Sdis RapM _ Y _ N
TrcePresPlanRecd _Y-_N,
Tree Prm Reqwred • _ Y_ N
On-siteSeptitSystem -' _Y-_N
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date .? l 94 lto ?7
SiteAddress 1Y2 /.-- Co struction Cost
AACR?.?T-n ? P ' " =•s?' UniUSte#
Description of Work 4i? ? L?'tY? ? Q? ?J"?L
Multi-Family Bldg _ Y /N Fireplace(s) _ 0 ?_ 2
Property Owner ? C i•.1 ? ??. o s Telephone #( E 5? ) 7 S(? '? /L2 L?
Contmctor aa?
p
Address
State - z9)_A) .5 City
Zip ? Telephone # 2-
? 9G G
CpMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code CategOry • Residentlal Ventilation Category 1 Worksheet • New Energy Cotle Worksheet
(d submission type) Submitted Submitled
. Energy Envelope Calculations Submitled
In ihe last 12 months, has the Cify of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #(
?
Mechanical Contractor ? Telephone #(
MAR 2 7 20
Sewer/Water Contractor Telepnone #l
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 be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
CocPn e y /Ueuill `
ApplicanYs Printed Name A plicanYs Si na re
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
q 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 3$ Alteration
? 34 Replacement
? 13 16-plex
? 76 Rreplace
? 17 Garage
?
18 Deck
?
/
/ q? 19 Lower Level
? 20 Pool ?
? 21 Porch (3-sea.) ?
? 22 Porch/Addn.(4-sea.) ?
? 23 Porch (screen/gazebolpergola) ?
? 24 Storm Damage
? 25 Miscellaneous
30 Accessory Bldg
31 Ext. Alt - Multi
33 6ct. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` 0 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to appiicant
DeSCI'IptlOn: Water Damage _ Yes
0
P
(7
4
Valuation Occupancy MCES System
Plan Review ? 100% or _ 25%
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const v 6 Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
? Fireplace -Y R.I. _)['Air Test V Final
Insula[ion F
REQUIItED INSPECTIONS
_ Sheetrock
Final/C.O.
? FinaVNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ W indows
_ Retaining Wall
.r?-
Approved By: I , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 O5-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
t,L f-,nr-1,F)s h,`
13????
/, ??? 2007 RESIDENTIAL PLUMBING PeRMiTaPPLicarioN ?-?
??o CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existinq residential dwellinqs.
Date T90 -
Site Street Address _ 71,4 Unit #
Property Owner v? T Jc r??h rt; Telephone #( )
Contrector GrX,/f 4'4h Telephone# (6/.? ) 606"1oa
Address?f Sel City `^Ga? State /tirb Zip )Z.35?A
The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Aiterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level A lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
X Other.
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Tatal $ L5-c) ' Z?
I hereby apply for a Residential Plumhing 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 plumbing codes; that I
understand this is not a permit, but only an application for a perm rk is not start without a permd and work will be in
accordance with the approved plan in the event a plan is requi d t e rev' ed and approved.
-,-
!/liJc+-?
ApplicanYs Printed Name ppJ} nPs Signature
PERMIT
? CI7Y 6F EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
BUILDSNG
023653
05/23/44
SITE ADDRESS:
4712 BRISTOL BLVD
LOT: 15 BLOCK: 4
WE3TON HILLS 2ND
P.I.N.: 10-83751-150-04
DESCRIPTION:
Building-.Permit Type SF OWG
6uilding W'o'r_k Type NEW
fUBC Oceupancy-, R-3 M-1
/ Conetruct3orr Type VN
Zoning '-? R-1
? Building Length ? 60
` Building Width J` 52
?f
(??? t,?({?r-?
?7? ?? , L? t'1 C!
•- -i% A- -.?
REMARKS:
S&W CONTRAC70R - VALLEY PLUMBING
FEE SUMMARY:
VAIUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
5AC Units
Subtotal
$769.00
$499.85
$68.50
$800.00
100
1
$2,137.35
PRV
$197s0@0
MISC FEES
Total Fee
$1,828.50
$3,965.85
CONTRACTOR: - Applicant - sT. LIc. OWNER:
HOMES BY CHASE 18955337 0001619 HOMES BY CHASE
2500 W COUNTY ROAD 42 260 2500 W COUNTY RD 42
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 895-5337 (612)895-5337
I Mereby acknowledge that I have read this application and state that the
information is correct and agrae to comply with 811 applicable State of Mn.
Statutes and City of Eagan Ordinances.
?
4APC?ERMITEE SIGNATURE SSUED BV.?SIG ATU E?-
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor: ss BLOCK:
4712 BRIS70L BLVD
WESTON HILLS 2N0
PERMIT SUBTYPE:
SF DWG
HOME5 BY CHASE
(612) 895-5337
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS .. .
FOUNpATION .•
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S&W CONTRACTOR - VALLEY PLUMBIMG PRV
I F
PERMITTYPE: euiLoxNG
Permit Number: 0 2 3 6 5 3
Date Issued: 0 5/ 2 3/ 9 4
APPLICANT:
a
'L
a5? 53
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
(a.QQV ;-,
0q b S Ks
t 7 ta04
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys co
calcs. MAY 17 1994
COMMERCIAL 2 sets of architectural & structural plan . l_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 1? /? 4aluation af work ?,
Site Address:
STREET SUITE 0
Tenant Name: (commercial only)
IAT ,j: ? BIACK ? SUBD.WgS7?*L' '?s P.I.D. #
Descri tion of ?rork: S
The applicant is: wner Contractor ? Other (oeg«;be) 1
- P h o n e ?S=S'337
a
Name
zuzws:
Property usT FIRST
OWner
Address ?--
STREET STE f1
City 5tate ?1/L- Zip'5S'937
Company _ Phone
Contractor Address License Exp.
City State ZiP
Company Phone
Architect/
Engineer Name ??---- Reaistration #
Address
City - State ZjP
Sewer & water licensed plumber, ? ? . Processing time for
sewer & water permits is two days once rea has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wit 11 applicable State of Minnesota Statutes and City of
Ea9an Ordinances.
Signature of Applicant:
V
OFFICE USE ONLY
BUILDING PERMIT TYPE -
11 01 Foundation
la, 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
E3 31 New
0 32 Addition
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move -
GENERAL INFORMATION
Const. (Actual) V"
(Allowable)
UBC Occupancy ,y.?
Zoning
# of Stories ?
Length ?_
Depth SZ
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? .Site
? Wallboard
Basement sq. ft.
lst F1. sq: ft.
2nd F1. sq, ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
? 16 Basement Finish
? 17 Swim Pool
? 18 Coimn./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
&V 6 MWCC System ?
avL City Water ?
3 2 PRV Required lu-
Booster Pump
Fire Sprinkler
Census Code
SAC Code _0/
Census Bldg ?
Census Unit 7
Building
Variance '
ID Footing
121 Final
0 Framing
O Draintile
0 Insulation
? fireplace
Permit fee +raiuaeton: g f 3`? 6.-
Surcharge
Plan RevieN vsAd s-?? ? /sZ
?_ ?`?ra?
3z?-Z2 yiG =
MWCCnSAC ZY = lc?y G y
City SAC
Water Conn.
Water Meter
Acct. Deposit iz y?X?,g ? ?5 $7
?
S/W Permit
S/W Surcharge --
--?
2
?
?
f 3(o G
Treatment P1. N
a
r
Park Dedt 30, S?zY = D 3z S Szd? Y=3t
Trails Ded. ?
Copies
Other
Total:
SAC %
SAC Units ? 06 Duplex
? 07 4-Plex
? 08 8-Plex
' ? 09 12-Plex
? 10 Multi. Add'1.
Assessments
CERTIFICATE OF SURVEY
For HOMES BY CHASE
PROPERTY DESCRIPTION: Lot 15, Block 4, WESTON HILLS 2ND
ADDITION, Dakota County, Minnesota.
We hereby certify that this is a true and correct survey of the above described property and that it was
performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the
laws of the State of Minnesota. This survey does not purport tol!1tv"iKrovements, easements
or encroachments, to the property except as shown thereon. R E .4 wE D
?
Signed this day of
7CG,aryv *His. ?s J mes R. Hill, Inc.,
p By:
_ nes ota LS. No. 10943
NOteS:
1. Building dimensions shown are for
horizontal & vertical location of structure only.
See architectural plans for building &
foundation dimensions.
2. No specific soils investigation has been
completed on this lot by James R. Hill, Inc.
The suitability of soils to support the specific
house proposed is not the responsibility of
James R. Hill, Inc. or the surveyor.
3. Proposed grades shown were taken from
the grading BJor development plan prepared by
PROBE ENGINEERINO
p Denotes set iron monument
0 Denates found iron monument
x 927.68 Denotes existfng elevafion
(930.00) Denotes proposed elevation
Denotes proposed drainage
Bench Mark: -
Proposed Garege Floor = 174413
Proposed House Top Block= 444• 7
Proposed Garage Top Block= 944• 7
Proposed Lowest Floor- 93U.Cs
Bearings are on assumed datum
Scale: 1 "= 3 0'
Page 1 of 2
? o o m? ? James R. Hill, inc.
?
Nm A
a o m? Z PLANNERS / ENGINEERS / SURVEYORS
? Z ? ?? o{
0 m 2500 W. CTY. RD. 42 o BURNSVILLE, MN. 55337 9 612-890-6044
` CEI3TIFICATE OF SURVEY
For . HOMES BY CHASE
a?
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James R. Hill, Inc. Page 2 of 2
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LOT SORVEY CHECKLIST FOR RESIDENTIAL
?i SIIILDINCi
? PROPERTY LB4ALS ?
? i
y
?
DOCIIMENT STANDARDS
APPLICATION
?
Date of 8urvey: z
{r 0 0 • Registered Land Surveyor signature and company
8'? 0 0 • Suilding Permit Applicant
B' 0 0 • Leqal description
0 0 6'- • Address
2"0 ? • Narth arrow and4m= scale
8?p Q • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
6' ? 0 • Directional drainage arrows with slope/gradient $.
0-D 0 • Proposed/existinq sewer and water services
T' p 13 • 5treet name
B<p p • Driveway
ELEVATIONS
Exiatino
? ? ? • Sewer service
0?0 0 • Lot corners
??C'1 ? • Top of curb at the driveway
p? D ? • Elevations of any existing adjacent homes
prooosed
C7? 0 0 • Garage floor
mr?0 o • First floor
0? 0 0 • Lowest exposed elevation (walkout/window)
[!' ? 0 • Broperty corners
• Front and rear of home at the foundation
PONDING AREAS (if aoolicable)
0 e ? • Easement line
13 6' 0 • r1wL
0 0' 0 • HwL
0 t • Pond # designation
?
0 U O • Emergency Overflow Elevation
DIMEN9ION8
0' fl 0 • Lot lines
? 0 0 • Riqht-of-way and street width (to back of curb)
[3?D n • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requirfng permanent footings)
? 0 ? ? Sriow all easements of record and any City utilities within
those easements
• Setbacks of proposed structure and setback of adjacent
/ existing homes
0 Q 0 • Retaininq wall requirements, if any
Reviewed;
October 1992
\
Fr
.
.•?
,4; f ?
N,5??
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z.
, • .?. ?s?- ..:.?.??;r,?? oF uTiL.rr," I.OCATIOfVS
-:,`09?,-- e
?.i10?,, IS FOR
?PURPO?ciEr
? .
SH?Y/ONL`? Af?li? '
? ?ryd ? ."o ?ii`>Ile^ 1?'. .'yL?D ?JEP„i Y THE ?
.?t;110P!'JV
10
c
WYE 0+15 16 T ? SAN. ELEV. @ PL 930.76
15 BRISTOL BOULEVE
WYE 0+77 STRATFORD LA
SAN. ELEV. @ PL 930.42
d6 14 WYE 1+75
y,?, • WYE 0+32 SAN. ELEV. @ PL 931.12
? SAN. ELEV. 9 PL 930.26
\
> 13 ?
WVE2+53
, / / / / \ , e• ?? ? v ? / 6' HVDpANT SAN. ELEV. @ Pl 9375
12'X6' TEE
WYE 1+20 11'-6' DIP
SAN. ELEV. @ PL 930.79 ? ??? VALVE ?
?? • / ,
?
W YE 2+07 ? 56' 2'p
SAN. ELEV. @ PL 931.37 > g• _ ?A' r ?
A •
O \ i i` y, y MH. *,
\ ?? ` \\?? ¦ // // WVE2+87 \ \\7 .? w J' \ / i
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URACY pF ? ?OT?UARANeLE?
?EVATIOfVS. ? IS LITY DAT??jg 100?
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TRAT?nn., , . ___
+ ? .u LA?rC
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CB-101
60" DIA
STA 11+87.67
16 FT. RT.
(BRISTOL BOULEVARD)
TOP 940.37
:1 STORM PROFILE
-30" RCP @ 0.82°
.CL•A$S fll
CB-102
48" DIA.
STA 11+87.67
16 FT. LT.
(BRISTOL BOULEVARD)
TOP 940.37
Ulll.lli'H: ??tlmvc ?? Cl?i?j .. . , . , . . , , .
. .
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siiE nudnESS: _ h?7/L Ala c
z
F..r :
,?? ... .
CUII1"RIICTO II: DAiE! - - PIIOflE= ?j$533?
0ETERHIIIE•VOp1;111('. SO,UARE F001ACE OF EACH =,
, : , ;•. :
,,,
i.. iornL ExrosEn unlL nt«n.,,,.... 6 sq ft x "U" '
.
2: InTnL noor/cEiLnIa nnen,,,,,,,,• sn rt x liu" '' ?,??5 d ?3/?71
7. Tornl ExrosKO ,11nLL nnEn cnlcUlnrlOIist
, ,? , . .. .
7ota) exposed wall • • .
' areo obove f loor........ d` ?r D? sc
I f t ' ? '
'
• • , , .. ..
.
. .
! .
r. ,..,:;.
e) Totnl arnll window areai • • ' ••
.
-?? qlazed...... _ Y3 3 sq
f t
x
"U"
VL * .,, .
.rylazed...... sq Ft x nUn ? e .
6) Tota) door area
'sq ft x "U" ' d /ri.(oO
.....
...
c) rotol slldinn fllass'door 'erea?'". • ,•, . ..:' ..
' ,
. , , . , ,. . . • . . .
glazad.:.... sq Ft x nUn
hlttzed.'.... 54, Ft x nUn . n
J) Total flreplace wal) area •• rD sq ft x "U" n
e) Totnl wall frAmliig area •
?Avcrage IU?)........6. ' ..?CJ"7 sq ft x nUn O9y ° G?7
' f) Totel net wall area above •
floor (Insuln.ted)......, el Z sq ft x "U"
g) 7ota) rim Jolst.area., ...._ f? sq ft x "U"
Total foundatlon
area sq .ft .
h) Total foundatloti
wlnJorr area ............. sq ft x "U" ---' ? ,
I) 7otal net fovndatlon' - I . •
area above.graJct......' ?d sq ft x "U" d 71
v TOTAI a) tliru 1)
If'Item p3 Is tlie same asr or less than item 01, you Iiave roet tlle Intent of
S.11.C. Sectlon f+OQf. (c) 2.
r,nLcul.nr101Is: '
. . .
,,
'lbtnt axl)osed
, roof/ccllinq area....??.? o? (o sry ft . . ' . . ..
j) . Tota) skyl lalit. arco.'...... n. • 1, Sq rt x f•ul$ d • :., ;',.,
,
'
•
;
}
?
.
k) Total roof/cclllnq framirih • '?t ?.•• ; , .
. ?rca (Averane 109,)...... sq Ft x "Ull ?'e?4•7i? n r?? "'.
Tota) net insvlated . ? ' ?'•' "
'
, roof/calllnq area....... //CLfJ sry ft x i??" C9.R ?6 ,e . . e?
..i:. ..
,
• '
, TOTAL J) thru
total'of Nh Is tl,c same as, ar Icss thnn 02, ytlu have
1.C. Sectton 66n6 (c) 1. met the Intent oF ?? ???`?•
. . . .
'
.? . . ,
. . .. • ' . . . .?.•.:?, . ..
. . • • • . . • .
, . \.1? ??. ?. 'I •. ? :•f'?'n?.•?..;•
.h• . .
.
? , ? . ? . ?. ? •
. ? ? ' .
? ? e t' ? • ? . .
• . . . . ? ?
. 11LTEIGIATC UUII.bt11r, EIIVELOPE btSICN • •
" utl 117e the tota) envelope system method,,the volues.
? Items p3 "nJ Nh sh
ll estobllshed by the Sum
?
a
riot be qreatcr than the sum of Items p) and a2, .
+ 7..
+
a
CEIITIF,IfATlbll .
1 hereby certlfy,that ( have calculuted the "11" factors and "R"
?lucs hcrcin ond lhat Uhe bulldinq here descrlhed meets or exceeds the State
r Nlnnesota Energy f.vhservatlon Act.
.
1 js rynuture
v,sV',e?
PERMIT
-??CITI?`OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILOING
029979
@5/16f47
SITE ADDRESS:
4712 BRISTOL BLVD
LOT: 15 BLOCK: 4
WESTON IIILLS 2N[7
P.I.Pd.: 10-83751-150-04
DESCRIPTION:
Vi.ldd,n*.Permit Type
ljui.Lding- ?Xr?k 7ype
GensuS Eod@
DECK
NEW
434 ALT. RESIDEN7IAL
. ? ?...
?4 - ,
? .. . ? d4T`r A96.,?b`•?
`?f,?i
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REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $•50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
SOELDNER KUR7
4712 BRISTOL BLVD
" EA6AN mN
; (612)456-0724
I hereby ?aoknowjedqe ghAt I ;ha?e r,,Oad ??je§ appl4caticin amd-sitate that t'+e
informati.an ?i,s cerrect and-ag?^?e appllcabio StaCa,dP Mn.
s-Statutas and City'of,'L?gyan Qv^dinaYro'a s. , . .
?
APPLICANT/PERMI ESIGNATURE ISSUED :SIGN RE
1997 BUtLDING PERMIT APPLICATION (RESIDENTIAL)
? y CITY OF EAGAN
/ 3830 PILOT KNOB RD - 55122
661-4675
New Construdion Reauiremerns RemodeUReoair ReeuiremeMs
? 3 registered ske survoys ? 2 oopies of plan
• 2 coPies W plans (indude beam 8 window sizes: ppured fid. design: eteJ • 2 sile survoys (exterior edditiona 6 dedcs)
? 1 energy catwistlons • 1 eneigy eekuladons for heateC addkions
? 3 eopfea MUee preservatlon plan if IW plalted efter 7Hl93
required: _ Yes _ No -
DATE:
S-1-a -97
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT BLOCK
CONSTRUCTION COST:
pECK
971;?, 'F>RksTOL _&?-vD
?f SUBD./P.i.D. #:
L
PROPERTY Name: 5OELbNC1Z n UP? T Phone #: '4
OWNER Ge
Street Address: I-7 1 oZ 5 R \lJ TOL ?2> LU? .21'9 a33
City: EAC-AAl State: rn M Zip; l?-3
coNTw?cTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
SVeet Address:
City: State: Zip:
Sewer & water licensed plumber (new construcUon only): . Penalty applies when address change
and lot change are requested once pertnit is issued.
I hereby acknowledge that I have read this applicatlon and slate that the infortnation is rrect nd agree to comply with all applipble
State of Minnesota Statutes and City of Eagan Ordinances. ? ?
Signature of Applicant:
OFFICE U5E ONLY RECEIVED
Certificates of Survey Received _ Yes _ No MAY 12 1997
l JEG
Tree Preservation Plan Received _ Yes _ No _ Not Required BY"?-
CERTIFICATE OF SUKVEY
? For . HOMES BY CHASE
Q•v p 30
Jp ? y
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?p
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BENCH MARK
TOP OF PIPE
eLEv. -943.34
40
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,-
sr b
??3 +L
. ?
. ?
1 ? ?\ \ p a>I
l91 ?O?s3 ?? ???? _ ?O ^
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0
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James R. Hill, Inc. Page 2 of 2
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIl2ED FOR EACH UNIT.
- ----------- - - - -----
NO. FIXTURES
? SHOWER
WATER CLOSET
? BATH TUB
a LAVATORY
L_ KTTCfEN SINK
`1_ LAUNDRY TRAY
HOT TUB/SPA
? WATER HEATER
f FLOOR DRAIN
GAS PIPING OUTLET • minim„m _ i
ROUGH OPENINGS
WATER 50FTENER
PRNATE DISP. • nek.cry. i;Q
U.G. SPRINKLER • n? ? ??.
ALTERATIONS • w =winB
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH TOTAI.
3.00 3-
-
3.00 ?,_
_
3.00 "S?
3.00 L-
3.00
3.00 ?-
3.00
3.00 3 -
3.00
3.00
1.50 T T°
5.00
20.00
3.00
20.00
20.00
.50
STTE ADDRESS:_ y 1 ti a 1 `(Z t., c'
OWNER NAME:_ o w. cN VS. ? C?.i ,¢
INSTALLER: v 4L Ik,? ? ILo-
ADDRE55: (?(, u fkl., c
C1TY: J o- e a. STATE: n - ZIP CODE: S r3 s 1
PHONE #: ( ) 1160-?
Ll,? e? J,_-
SIGNATURE OF PERMITTEE
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
_x
,.
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIltED FOR EACH UN1T.
- - - - - ----------------- -- - - - --- - ---- - - -----------
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FII2EPLACE INSERT
DATE ? ` (4--) `Cl !a
HVAC: 0-100 M BT[J
ADDTTIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CoNSTRUCi'ION)
STATESURCHARGE
TOTAL
STTE ADDRESS: -? -? I d \4? !L. c
OWNER
FEES
$ 24.00
6.00
L, cc
$ 20.00
.50
_?30. (SC)
#: p 9 .S i -s -': s -1
STATE: V Y l? n Yl ZIP CODE:
TF.1.F.PHONE #: _tlcXJ-'
SIGNATURE OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CLAIM VOUCHEB - REFUND REqUEST
CITY OF EAGAN
CLAIMANT_HELS9N ELECTRIC Ijq?r____------------ _-
AD D RE S S__UU MIWiFFl1?tIA1V_EN1Ca. _$ 4llTE1---------- ---
_MSSLYE?Y4J,Iv5?_1???k--------------- -
Location 4712 BRI STOL BOULEVARD
L15 B41 WESTON HILLS 2ND
Receipt No./Date 16171-II/23/94
Reason for Refund HOi15E WAS NEVER RUILT AT THIS ADDRESS
Tqpe of Refund Electrical Permit 3211-q220
Plumbilg Permit 3212-4220
Nechanacal Permit 3213-9220 $
-------
Surchai ge 2155-q220 $_______
Water ?onnection Permit 3713-4220 $
Sewer lonnection Permit 3743-4220 $
--------
Accounlt Deposi[ 2252-9220 $
l
Utilit
y Account Over-payment 2250-9220 $
Other:
i -----------
---- $
------
----I---------------- ----- $-------
II TOTAL $ 73.00
I declare under penalties of law tfiat chis account, claim or demand
is just and that no partl of it has been paid.
TURE DATE
I ?? ? /P \
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129087
Date Issued:01/07/2015
Permit Category:ePermit
Site Address: 4712 Bristol Blvd
Lot:015 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-150
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 -
Kurt N Soeldner
4712 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:EA129451
Date Issued:02/11/2015
Permit Category:ePermit
Site Address: 4712 Bristol Blvd
Lot:015 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-150
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 -
Kurt N Soeldner
4712 Bristol Blvd
Eagan MN 55123
(651) 456-0724
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature