4673 Bristol Blvd
L .
r-----------
I or„ ce'Use I
• " j Permit
of Eap I I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 1 1
Fax: (651) 675-5694 1 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ G V Site Address: z(p l?~ ' &PI& "J&e
Tenant: h7me, Gt,ynzw
Suite
RESIDENT / OWNER Name: ~l Phone: 4i:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: jL6 cc~ Multi-Family Building: (Yes / No X-)
CONTRACTOR Name: 4eh 13'" License 03OC~3
Address: ryryl~~~ 7~~J ~S~
City: State: Zip: 10
Phone: (p Sf ~25~-C37Yf Contact Person: q a',q se--'p
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
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 may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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 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
accorda th the app ved plan in the case of work which requires a review and approval of plans. J/ /mil ~-r
x 7 ZVX'05-~- x~A;~~ ~L~CSTL/
Apf c
icant's t ted Name Applicant's Signature
Page 1 of 3
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DATE INSPTR. • TYPE DATE INSPTR.
I I It11e'• i f fell-, I
J
Permit No. Permit Holder Date Telephone #
SIW
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
FootingsI
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
~7/
Weil
Pr. Disp.
INSPECTION RECORD
Clif OF EAGAN PERMIT TYPE: 13
3830 Pilot Knob Road Permit Number: ' 6
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
;i: t Ul {ti ti i D ! f ! is jii
I tt t! l t , i /I !-t 466'4
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
i
;ll
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC rP ~PO vZ-
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments .
Footings I va,!]Af-q
Foundation
Framing
Roofing
Rough Plbg./f$
Rough Htg.
]Sul.
Fireplace 7
Final Htg.
Orsat Test f(
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan ~r
Bldg. Final !//.21,,2
t/
Deck Fig.
Deck Final
Well
Pr. Disp.
W¢rti f irate of cccuvancv
City of Wagan
~c~artm+en# of ~ntCb~ng ~n~rp¢ctian
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
SF DW 23705
Use Classification: Bldg. Permit No. MAKI Occupancy Type Zoning District T Coast
Owner of8uildin .XE Address 3459 WASfIII1 DR, 'F"
Buil ' Address 4873 , BLVD Locality / s B1, G SIM Wits
192
Date:
Buil' Official
POST IN A CONSPICUOUS PLACE
Address 4673 MISIOL BLVD Zip 5512 3
Lot ~8 Blk I Sub wEsxN HiLLs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) t/
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the 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.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Aaquein Date Fire No Rqugh-in Inspection
Sept. 10, 1993 Re_q~e°' ~Nq ❑ReadvNgw wllnvoR Iz'gror
Lensed contractor ] owner hereby requek inspection of above electrical work at
Job Address (Street. Box or Route No l Qty
4673 Bristol Blvd. Ea an
Section No Township Name or No Range No, County
Dakota
'upari Ipp>.lijJ
oe l~1jler Homes P4VO-4663
.t
Power Supplier Address 4300 220th St. S.W.
Dakota Electric Farmington,MN 55024
i`ic~1Da for I1 e c Name), c C tAglg012 3 6q 41
Mailing Address IConlractor or Owner Making Installation)
22691 RED FOX DR. LAKEVILLE,MN. 55044
Auth ed Signature ICOntract ner Making Inssllationl Phony jJUm1444
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN $5104 UNLESS PROPER INSPECTION FEE IS
Phone (612(842-0800 ENCLOSED.
9~7 /C~~ REQUEST FOR ELECTRICAL INSPECTION `"'"IN
l ► See mstruc rt Jor completing the form on ba k of yellow copy. /
6
"X" Below Work Covered by This Request 775.~"w""•
New Aad Rep. Type of Budding Appliances Wired EquipmentWlred
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Budding Dryer OtheF(Speafy)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) contractors Remarks.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 -Amps
Signs Inspector's Use Only TOTAL
Irrigation Booms 7e/
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electrical Inspector, hereby Rough in l oey~^~2
certify that the above inspection has Finai oetY
been made.
OFFICE USE ONLY
This request vmtl 18 months from
°5'r~~5` s8 8 ro
Oro
nLY 3
Request Dale Fire No. Rough-In Inpsegion Repmred I spection Other Then Rough-In
(You must cell inspector n ready) Reatly Now ❑ WII Not6y In
❑ yes No Ready
I licensed contractor El owner hereby request inspection of above electrical work at:
ob Atlbress (She t Box or Rome No I bry
3 ~J, ts ~f
Section No Township Name or No Range No County
Occupant (PRINT) Phone No
Power Supplier Address
324 ko +V1- ac~
Electrical Contractor (Company Name)' Contractors License No
Eyt -`ggqqqq L
Mailing Aadress / r o Omer aking Installation 1
✓e
Aumonzea S Me a (Contra lowne aging In II tionl Phone NNumber /
/ v !
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room S-1T0 BE ACCEPTED BY THE STATE BOARD
1621 University Ave, St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
/ REQUEST FOR ELECTRICAL INSPECTION gro4 / ES_ oo~, 8
/ r ► See i,irucimns= completing this form on back of yellow copy p ! ff /
C U J_ "X" Below Work Covered by This Request ;9 7
ew Adtl Rep. Type of Building Appliances Wired EqulpmentWired
Home Range Temporary Service
Duplex er Heater Electric Heating
Apt. Building er Load Management
Comm./Industrial nace Other (Specify)
Farm dAiiConditioner Other (specify) contractors Remarks
Compute Inspection Fee Below: /c ~V /f
# Other Fee # Service Entrance Size Fee # Clrcuks/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs inspectors Use Only: TOTAL
Irrigation Booms V ao,
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final Dal
been made. -4
OFFICE USE ONLY
This request void to months from
CITY & EAGAN PERMIT M31113
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 024551
(612) 681-4675 Date Issued: 09/19/94
SITE ADDRESS:
4673 BRISTOL BLVD
LOT: 28 BLOCK: 1
WESTON HILLS
P.I.N.: 10-83750-280-01
DESCRIPTION:
B L).d4n' ermit Type DECK
IaCinx"4C Type NEW
4
t
4 R a
fi..Ypata E"
a o
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY _ $.50
Surcharge $.50 Total Fee $31.00
Subtotal $30.50
CONTRACTOR: OWNER: - Applicant -
ANDERSON GREGORY
4673 BRISTOL BLVD
EAGAN MN 55123
(612)456-0859
ariia=±..rG~~t~a~
r~per4rxfn,.s1rt;.~etx;:catt)1 tar11<PPlikta t~
APPLICANT/PERMITEE SIGNATURE ISSUEC BY IGN RE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 024551
Eagan, Minnesota 55123 Date Issued: 09/19/94
(612) 681-4675
SITE ADDRESS: LOT: 28 BLOCK: 1 APPLICANT:
4673 BRISTOL BLVD ANDERSON GREGORY
WESTON HILLS (612) 456-0859
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTINGS FINAL
III
~ x 3 „ r.
%
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site su v en rgy
talcs.
COMMERCIAL 2 sets of architectural & structural Tans, !.!et
specifications, 1 copy of energy talc - -
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 S QQ Valuation of work
Site Address: fi5~ul 810 J
STREET SUITE #
Tenant Name: (commercial only)
LOT ZY BLOCK SUBD. P.I.D. #
Description of work: Dtck
The applicant is: ❑ Owner ❑ Contractor ❑ Other (Describe)
Name AA 1 s' GreSOr~ Phone yS(o 0$5~
Property LAST R
Owner Address q05 Bi;s lb i bl e d
STREET STE #
City jAGn,,. State MAl Zip I lZ3
Company Phone
Contractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address
City 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 al applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
B 3
M Z• s 193 13:31 TO 612 681 4612 FROM PROBE ENGINEERING T-289 P.02
rr~WWSU~TT pper ®we taB~n7y, ~/rk Mlctr e /)aM~S, l U(
oa 46
PlDNf1~OS BRSI tq~m Onx S~g OUNGINCERING ~k1LO MP RHY INC. t
~ PH X87"806tl
IOoO EAS[ 1441h 97REEI. BURNSVILLE, MIr""E6337 OF SURVEY
_egal D®rcription: coT , alocK i ~f~s7,
Al '2T -
DENOTES EXISYINi3 ELEVATION
(9425) DENOTES PROPOSED ELEVATION
INDICATES 9 I DRAINAGE
FINISHED GARAOEr-Loot ELEVATION
BASEMENT rLOON ELIEVAION
a 8 = TOP or fFOUNDAV1oN ELEVATION
crAL6 : -40'
N 6~e
09VCA1104 K = T/VN AR 1-,97'/V -ffwevr a,
26
^a. etsv.. r 9#1. z8
O H~
V~
'u Wk42
J3 * ~ o
\ y
ORAw"e AMP
uTiy17-Y E4S054-O17"
001
5 r ■ • r V r tl F; L.+.e~J d tr .u`q~ 3.3 . ~Wi $
!T
%
a o yti
~y.. ?A~0 y~° ,gym Q,oJ ro
011
rRG N 14 INl RIND. b1:P1'
I hereby certify that this is a true and oorraat r4 esentation of a tract of
land as shown and described hereon. As prepared by me this. Sri .day of
~tAbt 57 8.5,
R6V"9Ep Na4r&4-vnS .roFr Minn. Reg. No. /0
Q5V/S5D 8-9•Y3 j7/ -gp i/rrW-OVA*ui .W 1,a~T
AjU,W )gWA8 NrvL 4- 9asa, AN &7Y RegrSr
612 432 3723 08-09-93 02:03PM P002 #13
PERMIT /l7
'3830 P ObF EA Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number: 021705
(612) 681-4675 Date Issued: 08/10/93
SITE ADDRESS:
4673 BRISTOL BLVD
LOT: 28 BLOCK: 1
WESTON HILLS
P.I.N.: 10-83750-280-01
DESCRIPTION:
B ldin Permit Type SF DWG
uildi,ng rk Type NEW
BC 00cupanc R-3 M-1
Construction T- a VN
Zoning R-1
Building Length 59
Building Width 44
V
oa
REMARKS:
S&W CONTRACTOR - GENZ-RYAN PRV
FEE SUMMARY-
VALUATION $142,000
Base Fee $786.50 MISC FEES $1,744.50
Plan Review $511.23 Total Fee $3,863.23
Surcharge $71.00
SAC $750.00
SAC % 100
SAC Units 1
Subtotal $2,118.73
CONTRACTOR: - Applicant - ST. LIC. OWNER:
JOE MILLER HOMES 14544663 0002431 MILLER HOMES JOE
3459 WASHINGTON DR 3459 WASHINGTON OR 204
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
I hereby acknowledge. that I have read this application amd state that-the
information is correct and'agrse to comply with all'ipplicable'$tate of Mn.,
Statutes and City of Ea4ANn ¢rdin,ance's: " " .
•
2&
APPU A ERMITEE SIGNATURE ISSUED IS : IGNATURE -
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 021705
Eagan, Minnesota 55123 Date Issued: 08/10/93
(612) 681-4675
SITE ADDRESS: LOT: 28 BLOCK: 1 APPLICANT:
4673 BRISTOL BLVD JOE MILLER HOMES
WESTON HILLS (612) 454-4663
PERMIT SUBTYPE: TYPE OF WORK: NEW
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE NSPTR.
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S&W CONTRACTOR - GENZ-RYAN PRV
REACTIV"ATE _ CITY OF EAGAN
PERMIT REC OVE® 1993 BUILDING PERMIT APPLICATION
717 s 681 -4675 3'ff 63, a-s_
SINGL & MULT -FAMiLY se s of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valu Lio~nfJof wor db r
Site Address: 116 -7~~
STREET SUITE /
Tenant Name: (commercial only)
LAT BLACK J- SUBD ` P.I.D. M
Description of work:
The applicant is: ❑ Owner "UCContractor ❑ Other (Describe)
Name Phone
Property LAST FIRST
Owner Address
STREET STE
City State Zip
Company JOE MILLER HUMES Phone 7 5-~3
8459 Wl1SMW=W DRIVE lq~
Contractor Address SUITE 204 License # Exp.
City #0002431 State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber - Processing time for
sewer & water permits is two days once ea ha 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 tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging CI 16 Basement Finish
02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
X31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) V- K Basement sq. ft. MWCC System `iz
(Allowable) 4- 14 1st Fl. sq. ft. City Water
UBC Occupancy KL4 M-1 2nd F1. sq. ft. PRV Required
Zoning K _I Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 01
Depth 14' On-site sewage SAC Code 01
APPROVALS J
1
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee Valuation: $ yZ10Oo
Surcharge GARA ,
Plan Review
License 7Z.7-q = 76 $ ZNa~i ern;
/ 2 = ~y
MWCC SAC L x ( 3°/,2n 31 c 95+6
City SAC 6 K!a°~ ~6 s G
Water Conn.
Water Meter 6$yrcl6 /09 4./ 9 ~L )(Sy:
Acct. Deposit .B.SMT;
S/W Permit
S/W Surcharge 28 n 44= 1232 Jrl~ D 5~
Treatment Pl. G X6 = (3G>
Road Unit
Park Ded. 16xy _ j N 1 3Z 4-1
Trails Ded.
Co ies j X32 x !S
Other ~ST Total: S45 i T.:~ I l32
SAC % 100 rx~ 7 G/, 992
SAC Units T ~yzK6- 9
I 140)c
e;AC- 09 '93 13:11 TO 612 681 4612 FROM PROBE ENGINEERING T-289 P.02
CoN9 6 4 0110 MOORS ~du ~IL1EI' j rr ~ buc
~IROME ~R~trl~'~s and [AND) Sunvevons dk 5W60/
~eN~fNF~RfN~ ®M6~RN1P, tNC® 10EOT, BURNSVILLE, MINNE901A 69037 P11 •92-80SA%;YY
CERTIFICATE OF SURVEY
P
Legal Description: cor ? y/H/.mss
.I4~a~itl
DENOTES EXISTING ELEVATION
(942 5) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
992,If3 = FINISHED GARAGE FLOOR ELEVATION
9,,65, 11~- = BASEMENT FLOOR ELEVATION .
945469 = TOP OF FOUNDATION ELEVATION
1
amiss. -40' N6
6O z `A"6y XVeX1o W = TNN ® LOT /O -BWeW 3,
~ LEI/. ' 9¢/, ZB
m~a
e
O y~
V
t
h
~•~l~ UT/L~7Y ~~se.aaE,vr
IyA 0.Dt°
10) OW
40, 1 . Leo ewwru6 p-~J~ ~ ~ ~1~'~~ ,,frr
SETBACK `a~/e~g•yti
hq
~ m
elm.
I hereby certify that this is a true and correct r~p esantation of a tract of
land as shown and described hereon. AS prepared by me this. 9'* .day of
vi9s7 8-g-9~: mdkw doom E.0,07 2cr/( Minn. Reg. No.
NaQ7/I~g9J~.fLY
RWISO 8-993 : R.410W HPWe e, 5i7 0 7Mr
A44W 1k4W JJWL [P 9a O, Mt cry .QWWff
"`i=gft 812 432 3723 08-09-93 02:03PM P002 #13
LOT SURVEY CHECKLIST FOR RESIDENTIAL
44 BUILDING PERMIT APPLICATION
Y• PROPERTY LEGAL:
Data of Survey: '
DOCUMENT STANDARDS Al l 9
3D Registered Land Surveyor signature and company
0 O 0 Building Permit Applicant
e-~b 0 Legal description
0 Or- 0 Address
f(' D 0 North arrow and bar scale
D' D ❑ House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0 ❑ Directional drainage arrows with slope/gradient
2`0 ❑ Proposed/existing sewer and water services
0 0 Street name
❑ Driveway
ELEVATIONS
Existing
0 0 Sewer service
~0 0 Lot corners
61- 0 ❑ Top of curb at the driveway
o 2--0 Elevations of any existing adjacent homes
proposed
DAD ❑ Garage floor
.0" D 0 First floor
0 D Lowest exposed elevation (walkout/window)
0 D Property corners
❑ Front and rear of home at the foundation
PONDING AREAS (if applicable)
D' D ❑ Easement line
0 ❑ NML
0 ❑ ❑ HkL
0D ❑ Pond N designation
D Emergency Overflow Elevation
DIMENSIONS
0'~-D ❑ Lot lines
'r-D ❑ Right-of-way and street width (to back of curb)
/D ❑ Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
~D 0 Show all easements of record and any City utilities within
those easements
0 Setbacks of proposed structure and setback of adjacent
existing homes
0 Z '-D Retaining w requirements, if any
Reviewed:
Name / t
October 1992
8 7- 40,
CITY OF BUILDING DEPARTMENT
EXTERIOR ENVELOPE AVERAGE rrUrr C014PUTATION
(To be submitted with building permit application)
One or Two Family Dwellin Owner i
All Other ti(r~l Site Address ' i
Contractor ~(e..)SFpp M I (Fr ~ Kf Date Phone
LINEAL FEET OF r~
EXPOSED WALL 'JE N NO KSMEET ft. above grade = Z7(a$-`l5~
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: rrUrr Value x Area
Detail 112 AM 0 rrUrr ✓K(-3 x SQ. FT. Zlc4y. 3.0U A
reference rrUrr 0761 x SQ. FT. (I is _ '7"33 (U) (A)
from rrUrr UZ O x Sq. FT. -S~ = 4-11 (U) (A)
attached rrUrr x SQ. FT. = U) (A)
sheets ;rU;; x SQ. FT. _ (U)(A)
x SQ. FT. _ (U)(A)
WINDOWS: rrUrr Value x Area
Make & Type I-Ne;L. upu . ~(p x SQ. FT. Z5 "zS = 117A (U) (A)
it rr
to If rrUrr x SQ. FT. _ (U)(A)
rrUrr x SQ. FT. _ (U) (A)
u it rrUrr x SQ. FT. _ (U)(A)
DOORS: rrUrr Value x Area
Make & T
n YPe rrUrr x SQ. FT.~_a-26_(U)(A)
Pao ie-r nUu .LI-1 x SQ. FT. M = ji. ft (U) (A)
u n
n u [lull
g SQ.
(U) (A)
TOTALS Z'7Ce`a,- SQ. F'T._- Z(aa-93 -(U) (A)
AVERAGE rrUrr
TOTAL (U)(A) VALUES - Z( q3- -
DIVIDED BY TOTAL WALL AREA 77cdo'd
AVERAGE "Ur .115 r less for 1&2 family dwellings .
ROOF/CEILING=
TOTAL AREA: 06!is
Detail reference rrUrr -o7-1 x SQ. FT.
from nUu -1L~4~= zZ (U)(A)
attached sheets. rrUrr x SQ. FT. . MIA)
Describe openings IOU It
is roof. nU,u x SQ. FT. _ (U)(A)
.
s: Ste. ((1►U(W)__.
TOTAL (U)(A) VALUES DIVIDED BY zzzl WMAV2 Zz
dos -7 CV
)
2111
TOTAL ROOF/CEILING AREA IaS~r "
AVERAGE 11
rr ,025 o ventilated roofs.
ray
M -
~ r
IN.
1993 PLUMBING PERMPf (RESIDENTIAL)
CITY OF EAGAN
3830 PELOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
O. FIXTURES EACH TOTAL
_ SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum • 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Delay. lie. 15.00
U.G. SPRINKLER • dome under coast. 3.00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
.STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: `l
OWNER NAM
INSTALLER:
ADDRES
~ 4 E
CITY: o/(~ STATE: ZIP CODE:
PHONE (~/L) 7f/ . 330-
SIGNATURE OF PERMTTTEE
e PLUMBING PERMIT (RESIDENTIAL) '
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNNHOMES, AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
TAO. FIXTURES EACH 'TOTAL
SHOWER 3.017 -
WATER CLOSET 3,00
BATH TUB 3.00.
LAVATORY 3,00
KITCHEN SINK 3.00
_L LAUNDRY TRAY 3,00
HOT TUB/SPA 3.00
WATER HEATER 3.00 3
FLOOR DRAIN 3,00
GAS PIPING OUTLET _ i 3.00
ROUGH OPENINGS 1.50 .
WATER SOFTENER 100
PRIVATE DISP. • Dai.ay. u,- 15.00
U.G. SPRINKLER • home under canu. 3.00 r'
ALTERATIONS • w edsting 15.00 '
WATER TURN AROUND 15.00
STATE SURCHARGE 356_
TOTAL: ~d. DD rt,
SITE ,ADDRESS: ~
OWNER NAME:
INSTALLER: GENZ-RYAN PLUMBIC & HEATING CO.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE: Mai ZIP CODE. 55068
PHONE (612 423-1144
A O PERMITTEE
t
q.
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681467S
PLEASE COMPLETE FOR SINGLE FAMILY DWEL .INGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE \~q
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ 53.00 EACH) qoo
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: b~ ea -J~
NAME:"~6e~ nb-TELEPHONE
OWNER
INSTALLER: ^I
ADDRESS:
CITY: Q 6~ STATE: ZIP CODE:
TELEPHONE
I NATURE OF PERMITTEE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113966
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 4673 Bristol Blvd
Lot:028 Block: 001 Addition: Weston Hills
PID:10-83750-01-280
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Gregory B Anderson
4673 Bristol Blvd
Eagan MN 55123
(651) 324-6697
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161648
Date Issued:06/05/2020
Permit Category:ePermit
Site Address: 4673 Bristol Blvd
Lot:028 Block: 001 Addition: Weston Hills
PID:10-83750-01-280
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Gregory B Anderson
4673 Bristol Blvd
Eagan MN 55123
(651) 324-6697
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168767
Date Issued:05/03/2021
Permit Category:ePermit
Site Address: 4673 Bristol Blvd
Lot:028 Block: 001 Addition: Weston Hills
PID:10-83750-01-280
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 -
Gregory B & Jeanette Anderson
4673 Bristol Blvd
Saint Paul MN 55123--398
(651) 324-6697
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature