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4709 Bristol Blvd,C1i'1( QF EAGAN 3830 Pilvt Knob Road Eagan, Minnesota 55123 f6191-F81 -467.r, ? SITE ADDRESS: # , PERMIT SUBTYRE: ? PERMIT TYPE. Permit Number: , ArNLICANT: TYPE OF WORK: INSPECTION .: . D• ,Jll ? i % 1. N A t' #, '-; - tO 3't'- M? ? Permit Nn. Permit Holder Date Telephone # S/W PLUMBING Hva,c ELECTRI V0 . 17 ELECTRIC Inspection Date fnsp. Comments Footings I Foundation Framing r..- Roofing / i Y ,er x2.( Rough Plbg. ,.` ,t f'r Rough Htg. • ,1- a !Y isUi. 3 3 /,P f? r? f? - 3 ?'" ? ?7 ?,' Firepiace Final Htg. Orsat Test Final Plbg. /?]X / Y W Plbg. inspector -Notity Plumber Const. Meter Engr.lPlan Bldg. Final Qeck Ftg. Deck Final Well Pr. Disp. -- " S tic, ,'- -' ? - ? - - .? lI ? ?-? ?? ;4- 6trtificate af Cccupamc? COM of fts'an _ ??art?eat o? ?Kil?ing ?n?cction This'Certificate rssued pursuaat to the requirements of the Uniform Building Code certi, fying that at the time of issuance rhis structure was in compliance wirh the various orriinances of rhe Ciiy riegulating building corutruction or use. For the following•. Use Classification: SF DW- - `M Bldg. Pertni[ N?. 22792 Oocupatky Type R3/+'S 1 Zoning District : R i Type Const. VN Ownero£Buildi? M CUMMMON IMf Address 19784 KUMM AV''', LAKE= BuiWing Address 4704 BRZSIUL ELVD , l.ocalit1, B ? , WESMN RMS 2ND Date' &iIding 6Pficial ? POST IN A CONSPICUOUS PIAGE , , • , . ..,???, _ . . d? ?`..'.. '° Address ,,,. 4709 sxrsmt, acxnEvnRn Zip 5512 3 L:ot 'el" Blk 1 Sub WES1YN HIIa.s 2rID T[IESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: ?p y Yes No Inspector: ? Final grade (6" from siding) fl/ Permanent steps (garage) t/ Permanent steps (main entry) Pennanent driveway Permanent gas ? Sod/Seeded grass TraiUcurb damage Porcb Basement finish f/ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential ezists. ContaM engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? While - City Copy Yellow - Resident Copy Pink - Contractor Copy Requesl Date Fire No. FgM1-in Inspection Rou v d? NOTICE: You Must Cell Elecincal Inspeclor R u e s ? No H A ough-In Inspec0on Is ReqmreE icensed conhactor ? owner hereby request inspection of above electrical work at: Job Addmss (Streeq Bmc or Route No ) 7 c? t3 f( 6cu Crty Llv? `? SecAO No. Township Name or No. Ranga No. Counry Occupant (PRINn Phone No. /v .. v G? Power upplie/r? Address ' I' ' (,e Electncal CoriV r(COmpany Neme) Canirector9license N. ' M u V Medirg MkTreg ?? jt " Instaliapon? ? Vl^ MN65124 ANharizetl ;?tyrq (L'_bi? Nc `g Instellatron) lyj9 ` Phw?e Number ? ? . ' 7 -6364 MINNESOTA STATE BOAHO'OFELECTRICRvY THIS MSPECfiON flEOUEST WILL NOT Grlggs-Mltlway Bldg. - Hoom 5-173 BE ACCEPTEO 9V THE STATE BOAFD 1621 Unlvxs(ty Ava., SL Paul, MN 55104 VNLESS PROPER INSPECTION FEE IS Phone(61Y)fiCYA)800 ENCLOSED 2/a9/4? REQUESTFOR ELECTRICAL INSPECTION ?? ? See insvucnon5 br comple0iy Ihis lorm on bflck of yelbw copy. M 21 3 7 X" Below lA?ork Covered by This Requesi °WE 8- 00001.08 d e Atltl Rep. TypeotBwltling AppliancesWired EquipmeniWiretl Home Range Temporary Service plex Wa[er Hea ter ElactriHeabng . Building Dryer Load Management t mm.Andustrial Fumace Other (Speary) m Air CondRioner 0'. r (specAy) CvntrectorS Remerks: Compute lnspection Fee Below• # Other Fee # Service Entrance Size Fee # CircuMs/Feetlers Fee Swimming Pool 0 to PBB Amps 5(i :1? 0 to 700 Amps Transformers Above200-Amps 700 _Amps Signs Insvecmr9 uae onry. l C/ TOTAL ImigauonBOOms G Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONN ECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT . I, the Electrical Inspector, hereby certify that the above inspechon has been made. Rough-in F,,,ai ? oale ? oate '''?--, 41 Zt? OFflCE USE ONLV Tnis request voitl 10 monMS irom `? °a ?% 56 91 I /?1 ,J?Q, o? ?o?O RequestOala FireNO ReOqh-Inin(AeqronRepulretl - (`lou must call Inspeclor when rea0y) Inspedm^OIherThenROUgh-ln ?qeady Naw ? WiII Natily Inspeclm ? Ves [%:NO Date ReaEy t 0 licensed nontraaor • O owner heieby request mspection of above electrical work at. Job Atltlress (Street. Box or Route No ) . 707 .C1S76G /,jLo.e7 Qy 4? Secnon No Townsnip Name or No Range No Counry agme? ntIPRINT? Pnone No. Power Suppli¢r AOtlress Elecincai Gontracror (Company Name) ! FRANKE EIEG INC Contractor§ Lsense No. Cx OG'^?'? Madnp Atltlress iGOnttacbr or Owner Makrng InslallaLOn, FLrPtDA t-ANE APF'LE VA11.EY MN 55124 Authonzetl Signature IGO aM vOwner Makmg.InslellaLon? PM1Ope NumOBr 431-6366 MINNESOTA STATIENIACRU OF ELECTHICITY ^,? p THIS MSPECTION REOUEST WILL NOT Grigga-1Mtlway BIEg. - qoom 3.113 of BE ACCEPTED BY THE $TATE BOARD 1821 Universtly Ave. St Pgul. MN 55100 I' UNLESS PROPEH INSPECTION FEE IS Vhone (612) 612-0800 ENClOSED. f ?7t?L REQUEST FOR ELECTRICAL INSPECTION , See instmctions im mmpleUng inis lorm on back oi yellow mpy. N 56791 . "X" Be/ow Vyork Cey.ered by This Request EB-00001-OB ew h,id Rep TypeofBwldmg AppliancesWiretl EquipmentWired Home Range Temporary ServiCe Dupiex Water Heater Elechic Heatlng Apt. Buildinq Oryer • LoaA ManagemeM Comm./Industrial Furnace Other (Specfij) Farm Air Condrtioner Other aHacity) Connacror's Remarks Campute Inspection Fee Below: # pther Fee # Service EntranceSrze Fee 8 CircuitslFeeder5 Fee Swimming Pool 0 to 200 Amps o to 100 Amps TransFOrmers Above 200 _ Amps ? Abova 100 _ Amps Signs Inspecror§ use Only TOTAL Irngafion Booms 2" W Speciallnspection Alarm/Communication THIS INSTAIL'ATION MAY BE 0 DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MON7NS. . I, the Electrical Inspectoc hereby certity that the above inspection has been made. Rough-in • oare "-fXY OFFICE USE ONIY Tlns repuest wd 18 months imm ?--.- --.-----------, ? Pertnd #: j I ? I permit Fee: ? ? Date Received: C? ? I ? ? I ? Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S.Z 8 Site Address: Tenant: Suite #: RESIDENT/OWNER Name: 1??02 <or-,ad?nss 4= Phone:&?S/-y?y- 76yn Address / City / Zip: 4-709 f3li STeG Applicant is: _ Owner 5,d Contractor TYPE OF WORK Description of work: /4TC- _ Construction Cost: ?4?;-CO W Multi-Family Building: (Yes No ? CONTRACTOR Name: C-JiLvulo?A r'an,s? JrAA License #: zoi TP/o/. Address: 'V703 Cily: 1!52096AA/ State:4W Zip: 5S/L9 Phone: ContactPerson: ;?" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet CategOry Submitted Submitted submission type) • Energy Envelopa Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: iNechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOTE: Plans and suppoRing-documertts thaf you,submit are considered, to be pubfic information. Portions of the infprmation may, be ciassifiecf•as non=public if youprovide specific-reasons that would permit fhe City to ? " - conclude ihai the aie {rade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in confonnance with the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, but onty an application for a pertnit, and work is not to st2R without a ertnit; that the work will be in accordance wdh the approved plan in the case of work which requires a review and approval of plans. x &..6 A" ?L?.+/?'k l x - Applicant's Printed Name ApplicanYs Signature Page 1 of 3 --?CITY QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 F PERMIT PERMIT TYPE: Permit Number: Date Issued: BUII..al NG 022797_ 12/29/93 SITE ADDRESS: P.I.N.: 10-83751-010-01 4709 BRTSTOL BLVD LO7: 1 BLOCK: 1 WESTON HILLS 2ND DESCRIPTION: F B 3.ldi`t?i Permit Type uilding rk Type SF DWG NEW BC Occupanc R-3 M-1 Construction Ty-pe V-N Zoning , ? R-1 Building I.ength 65 Buildinq W3dth ? 51 Buildin,g stories -? 2 utp 4:/? ?ag' - REMARKS: PRV S & W PLBR - FEE SUMMARY: Base Fee Plan Review Surr,harge SAC 5AC ? SAC Units Subtotal VALUATION $720.00 $468.00 $61.50 $%50.00 iee $1,999.50 CONTRACTOR: - Applicant - sT. Lzc. OWNER: T C CONST INC 14693723 0001076 T C CONS7 INC 19784 KENNICK AVE 19784 KENRTCK AVE LAKEVILLE MN 55044 LAKEVILLE MN 55044 (612) 469-3723 (612)469-3723 S hereby acknowledge that I have.read this application and state that the information is correct and agras Zo comply, with all applicatale State of Mn. Statiites and City of Eagan Ordinances. ° ? - -- - - - - - . . - - .. . _ ? . ? A LICANT/PERM ATURE INSPECTION CITY OF EAGAN 3830 Pilot KnoB Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: L0 7: 4709 BRI3TOL BLVD WESTON HILLS 2N0 PERMIT SUBTYPE: SF DWf $123,000 MI5CELI.ANEOUS $1,744.50 ToCal Fee $3,744.00 TYPE OF WORK: NEW INSPECTION FOOTINGS „ . FOUNDATION ., FRAMING ROOFZNG INSULATION FSREPLACE ROUGH IN PLBG ROUGW IN HTG FINAL PLBfi FINflL IREMARKS: PRV S& W PLBR - F- - - - ? ou 8i" 1w - ' ISSUEO B SIG ANRE RECORD PERMITTYPE: BuILDING Permit Number: 0 2 2 7 9 2 Date Issued: 12 / 2 9/ 9 3 1 B L 0 C K: 1 APPLICANT: T C CONST INC (612) 469-3723 - ` IL REAC7IVl:TE _ ?r----------? CITY OF EAGAN A I 993 BUILDING_ PERMIT APPUCATION "d '? ii `. •.. : . :;"?.?:.; ' PER+;: s ? 681-4675 l1-21(,qc I I SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. , COMMERCIAL I 2 sets of architectural E structural plans, l set of specifications, 1 copy of energy calcs. Penalty applies: 1) when P?r"addressyis d'changed or working in which request is made, 2Date IZ- / ? / R 3 Site Address Tenant Name: (commercial only) wire r ypT BIAC& SOBD. UJ Er> (JA.) lf'iLL9 2~? P.I.D. M ' Descri tion of work: NtaAd (kum s The applicant is: ? Owner 12tontractor ? Other (o.ccriee) Property Owner Name _ IAST Address _ CitY - State ZiP Company T, L -J-105?L0,710J 1NL• _ Phone '16_1-?1 L-f COntfBCtOf Address fq'7$`f KaN44(-r- A?' License M Exp. City ?t-k Vit-LE_ State N,J Zip '550 ArchitecU Engineer Company Phone Name ' Registration N Address Lity State Zip Sewer 5 water licensed plumber . Processing time for I sewer & water permits is two days once area has been approved. correctyandkagreedf9.o comply with alldapplicable15tate ofnMinnesotah5tatutesnand City ofs Eagan Ordinances. Yaluation of work ?iasr Phone STREET tTE 0 Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? O] Foundation p 02 SF Dwg. O 03 SF Addition 0 04 SF Porch M OS SF Misc. ? 06 Duplex O 07 4-Plex D OS 8-Plex ? 09 12-Plex 13 10 Multi. Add'1. woRK nrPe A 31 New O 32 Addition ? 33 Alterations O 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging 0 16 Basement Finish ? 12 Multi. Misc. 13 17 Swim Pool ? 13 6arage/Accessory O 18 Comm./Ind. O 14 Fireplace ? 19 Comn./Ind. Misc. O 15 Deck ? 20 Public facility O 21 Miscellaneous O 35 Tenant finish 13 37 Demolish O 36 Move Const. (Actual ,?jy ? - Basement sq. ft. 15 MWLC System (AtTowable ?it` `- lst F1. sq. ft. 15S9 City Mater UBC bctupancy ? / 2nd F1. sq. ft. PRV Required Zoning ? Sq. ft. total Booster Pump i of Stories Footprint Sq. ft. Fire Sprinkler length On-site well Census Code ? Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering _ Variance REOUIRED INSPECTIONS ? Site 4 Footing -0 Framing ? Mallboard OJinal ? Draintile Yalutfm: es- -?-?-? a 32 3 Z,t- z z 7L?. y:?o y Z?,'r z Permit fee Surcharge Plan Review license MWCC SAC Lity SAC Mater tonn. Water Meter Actt. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ued. Copies Other Total: ? ?_ls9?k?S=//??y3 ? ? ? M Insulation O Fireplace - yo ?--- sac x SkC Units 0" i,AfebiT4'%?'A,N,.?44 _ „ ' .. . ? . ? ....... . i i, _y v , . ? e f .S-i!'- J"'! ""'"""'? 1"""'"" """" ?"'" ' " ' ?A " , . 1 1qW 1a ' f.DECF231."93 16:55 TO 469.3304 : FROM PROPE EhIGINEERING 'T-678iP.02 ?,?,.•;;,, a?.. , , , ? ?'?1'. PCIIIUiF11T and ?IINU ?UI{VBVOIIS zEE;RiNG ?1;1? . , ??-'fr0??lhf?PRNY ING. TC??ComsrRucTroN ' . (:: ?,,, ,, , ,. . , : ? PVl 432 . .?;?.?,.,..:r;100tl'EAST IA81h BiIIEET, ElUI1NSVILLE, MINNESOTA 66337 -9000? ' tf'??.,i,p;; ; , ?, • cERT???CATE oF suRvEY .;?., . , .. ', D.0SCf1 )L? 1011: PARCEI, A: ; Lot 1, Block 1, Weston H111s Znd Addition;'"Dakota County , thereog together with rded p1aC , Minnesata, accordinq to the reco the southwesterly 10.00;feet of Lot 33, Block 1.,Weston H111s,, thereof ' e recorded p1$t Dak'ota'County, Minnesata, according to th thwesterly line of'said sou th ; e as measured at a right engle to Lat 33 and its,northwesterly extension.; . .. Subject to an easement for drainage and;u'titity purposes.over, southwesterly the af, feet; OO 5 :!f . , , ; : under and across the nontheasterly Block 2, Weston H;1,lls, Dak'ota County,i t 33 f L t r °'°' , o o 10.00 fee Minnesota, accordinq to the recorded plat'thereof`,n$ measured aL of said Lot 33 and its ^ ti ne . a right angle to the southwesterly ?.. northwesterly extension. , ' OQ ,. T 4z w E p,G pN R????W?d -? S: It ? , V ?C, . .?i. r '. f i i. ???.., 4.. • Q'Q'i` I ?C-2 ?. q ?G' I ? +, ? /???/.?8 `??' i • ? ?.?n ? ? ? ; ,'+•? ?, ?` j:'? lTj r5,v?g < < (ffL.7 OENOTEB EXlSTING E4EVATION 00.5) DEN0764 PFOpOSED ELEVATION .r---- INOICATE9 OIAECTION'OF SURFACB DRAINAGE, 943.83 c FINISHED OApA6p PLOOR ELEVATION 986•i2 a. BASEMENT FLOOp ELEVATION yq?,lb a TOP OF BLOCX ELEVATION ol n 0ni 61 lsnd { wpvesenlallon H Jor'ot ECEm t9°?L.?' ? i (??. . ???, ?,?, ?,??; ,_• AI y?O ?; ,,:; •. ; end ilrowi , atso fh'sl iheta 'bie' no;bulldti ?i? . ?{}.I'".?d.,?,f?L .??i;,?.• •Iry",p May. 13. 2015 1 .45PM Property Claim Solutions No. 3598 P, 1 ' 101371 B-Stachowiak i Use BWE or BLACK Ink ': �---------------- ' � For affice uae � � j Pertnit#: ��j � �� O��6�� Permk Fee: �V � ; 3830 Pilot Knob Road � � ' Eagan MN 66122 � Dale Received: j j Phone:(6b1)67b,5875 I � i Fax:(B51)6755684 I Slait: I � I � V��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION j Date: 5J13/2015 g��Addresa: 4709 Bristol Blvd.,Eagan Unit#: � i ;�;�'' Kellie&Norbert Stachowiak 651-454-7640-Home � :., ;,>,>.::�;�';.;,:;`f�;'`.:• . Name� Phone: i `'k" :<.� 4709 B�istol Blvd. Eagan 55123 � >:.:.��t�� Address/City/Zip_ > ' I - — - :r�•':'�;:.�` � - - — - -- - - — — - -- - - - - - — - - -- -- -- -- - - - - - - - Applicant is: �Owne� X Contractor � �;:";::��;;;;.`;;.;, � '''f''"'�I``"''��'�T•'�='"��''�'.�;;;; �eseription otwo�c: 35 Square of sidinig to be removed and replaced �:,.�:.,.,:,.�?°"` $17>500.00 X .,n:�..........:.::..;;,;;.,. "'�,`'%�".""`:'�::':•`":`"''�"'':' ConstructionCost� Multi-FamilyBuilding:(Yes_lNo� �';;;��`;,,;:;�;:�;�::;; Pam Pomerenke :::'��:-� Company: PCS Residential dba Propecry Claim Solut��; �?��'�� 2005 Pin Oak Drive n I >>:,C��ir�.M:�� Address: ci�+: �� : '^�`��"'''��'`''°`' omerenke@ csrenew.com State:MN Zip: 55122 phone: 651-255-0618 Email: Pp p . ... License#; BC593158 Lead CertiFcate#: I � If the project is exempt from lead certiflcatlon, piease explein why: (see Page 3 for additional information) � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the laat 12 montNs,has the City of Eagan issued a permit fo�a similar plan based on a masfier pisnT I �, Yes _No IF yes,date and address of master plan; I i Licenaed Plumbor: Phone: Meehanical Co�tractor; Phone: Sewe��WBter Co�rtractor. Phone: � ...;. . . . ....:...:...............:.......::...: .... .,,.,:. „ .:, $.,, ..,., ,: �,. ,y,., ,,„. ��`�;:�:'�.., ..,<... `�oi�>:. .�.. '•.!��.:.. �.i�� " �' : ...;:.•,.:: •;... . . ....,•,....•.,... .: .•��... ..�: ....�•<��,• ��r,�/�p �/,� � 2ryr�_ . /�`�....,,✓,�.. ��:1 `�+;•i.M,�w.ti.Cl�P� � �.T��) qd��i:�a.�� k�?F•�!. e�r'.:��I i'�f �....: .�.r�.:yr/�.. ..�::!..:�-.—�.� .�,:—..�:.i...4Nr,..� �..r•.ir. ...;�.:. .`Qi f) �::/�. 'j:A" �J!y�� /.�.. ,.':!r'n,F„�:I+„N,l,l,�q�,�.!,',-�.^u;�:��Y�A,. G ...h +?' v� � V�:i.,...�y1�:� h.M'1,:0.�F•i't+r,.n•�...A�.' .�.-0• y,�.C� v�.•��n�'i:''•'. .,n. y:��y�:�.. .��{"��.f,'.� .irNY I'/,/.•�f.!'��`n •.+Fry nrj�:• ��A:; ,�I�/� ,{ /.'� .N ��J �A'.ti. �':��:�: FnY�� rri :fi'��dv .n.MC'.•.A'.. ��'�� 1 �iJ�.:� '✓w.. ✓{,f :�A i:�'•M.M�r ��.:f': N�. .adfn :/.::� {�,: �. �nAw .:�.�...:�.. .: .:i..:'.;. . . •. ' :.:.'::'.......�:'�: ' .•. '��•�•,� ��..;•i ...:. ....Y��.�1.: . :i••; .:� CALL BEFORE YOU DIC�. Call Gopher 6qte One Call at(B91)dSd.p002 ior prolecl►on agalnst underground ullGty dsmage. Call a9 hours , before you intend to dlg to recelve locates ot underground utllhlea. winrw.qopherstateonecall.org , I here6y acknowledge that this itrfortnation is complele and accurate;thsl Lhe work will be in conformence with the ordinanoes end Codes of the Cily of � Eagan;that I unde�stand lhis Is not a permh,but ony an appllcaGon for a pemnit,and work Is not lo slart without a permit;�at the work will be In accordanoe wifh the epproved plen in the Case of work which requiies e review end eppfovel of plane. Exteriorwork autho��ed by a bullding pannit Issuod In aecordaneo wkh tho Mlnn�so B Ilding r ust be complafAd wlthin 1B0 � dey9 ofi pertnit i6suanCe. x Pamela Pomerer►ke x � /� ' Applican�'s Printed Name Applicant's Signature ; ' Pape 1 of 8 , T�-4.�.� CaZ.t-- � l� 11 c� � ✓IJ ev � dI � � . ( a 1 f�h Mn, . � WT BDItPEY CSECICLIST YOS RLBIDEIQTIAL ? SIIILDIliG YERKIT AP?LIC71TI0li 4ROPERTY I.EGALS ?Zi?/ IIat• of 8urvop: DCCIIMENT ST711PDARDB - 8' O 0 • Reqistered Lnnd Surveyor siQnature and company 6?0 0 • Suildinq Parmit Applicant , ' RY'0 0 • Legal description 0 !7__ 0 • Address 0??? D • North arrow and bar ocale ?' D D • House type (ramblar, valkout, split w/o, split entry, lookout, etc.) W'0 D • Directional drainage anows with slope/qradient 4. D D 0 • Proposed/existinq sower and vater services ? 0 • street name 0 • Driveway LLEVATIONB txistina ? • Sewer service D ? 0 • Lot corners D • Top of curb at the drivewey 0 0 • Elevations of any existiaq adjacent homes Pronosed ?0 G • Garnge floor ['1"0 13 • First iloor 0-'0 0 • Lowest exposed elevation (walkout/window) .DiFI 0 0 Property corners D'' 0 D • Front an8 rear of hoae at the loundation s D @? 0 • Easement line a e- n • NwL D 8' D • HwL D fl ?I - Pond t desiyrration n D' 1 3 • Emergency Overtlow Elevation O'D 0 • axrsErisxoxs Lct lines 8-0 0 • Riqht-ot-wey and atreet width (to back of curb) E'0 D • 8roposed home dimensions including any proposed -decks, overhangs greatez than 2', por.ches, etc. (i.e. all structures requiring permaneat lootings) II 0 C! • Snow all easements of rscord nnd any City utilities within those sasements 0 0 • Setbacks of proposed stzucture and setback of adjacent exiating homes D 0 • RetaininqfIOM reqyierlemsnts, it any October 2992 1 e ; ?. - ` .?... GX''f?R7A11 T;t!VGLOPE. AVI'RAGr, "U" C01+1PUTA`PION _Y . . . , , • ? ? ',,._ ' . , . r-'? ? -t- , ? ? siTr ADURESS._-??y??-__?--?. ' CONTRAC7'OR, j ---I)ATTPHONE?G.1 , , Determine work,lng, s(luare; f'oota6e of each. 1. Tota7. exposed wall area....._[L?q_jj_ sq• ft, x 111?' 2, Total roof/ceiling area.... ._/-a. ft. x•__02So?°` Total exposed wall area above floor = IspO _.,.. a. `Potal wall wlndow area . . . . . . . . . . . . . . . . . . . _._._ b. Tota-L door area ..................,..,.•.. _.-- C `Ibta'i s].Ldin[; glass door area............ .?_. ? ------ • ? ? _------------- d. 'Potal flreplace wa11 area.............. e, Total wall framinb area (avera6e 10%).•. ?? L) ---?---- f. Total net wall area above f'loor, .. ...... .._j .?.--- g, Toi;al rim ,lolst axea. . , . . . . . • • • • • • • • • • . •' ° Total exposed foiandation area h, Tota]. toundatlon window area...••??a?::::: J. Total net foundation ar-ea aUove g Deterrnine va lue of each wall•segment, ? 7. ? X 11UII ? - ? li . .- ? -- X "u - d', J X uun s - " L- = i ? yi ?? U li ? Cf? ? _ „ •??.?-.. -- - .--_ f liU fi --?--`--`- X "ll" h . "_ X ?,Ull ? ?.... ? .^----- ._.-- -- 1. X . , . , . Total ? . ........................... If item N3 is the same as, or less than itern 1l1,youu have met the lntent of SBC 6006 (c)2• , ; . . ; ?. ? ? .., j- ^ ? . , s. ., ' • , ? ' `Potal exposed roof/?cej.ling area Total gross roof/cei.l:Lng area _ Total skylight area................ k. `Potal roof/celling framing area.... ? 1. Total net insulated roof/ce]lirig area__,,,_ 1 Determl.ne "U" va7.ue f'or each roof/ceiling segment. _x ltU ii ?---- '_ • _ ? k. EA . ?? X 11U11 _x ?Iull ?? . ....................................`1'ota]. - ? LL0 ? I.f total of /f11 ]s the same as, or less than /12, ,you have met the intent; of SBC 6006 (c) 1. To utilize the total envelope system ntethod, the values established by the sum of items #3 and 1l4, shal.l not be greater than the sume of items N1 and #2. 1. 3. F 2. Materials Exterior Air Siding Material Sheathing Insulation Sheetrock Interior Alr SL'uds Rlm Conc, Blks, + 4. Therm. Resistance "R" --- I ?r ? ?? . -, 'N PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. ? ? -? > i -L i / SHOWER WATER CLOSET BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • m[ntmum • ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • Dak.Cry. lic. U.G. SPRINKI.ER - home unaer oonst. ALTERATIONS • to vdmmg WATER TURN AROUND STATESURCHARGE TOTAL: EACH 3.00 3.00 3.06 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 TOTAL SI1'E 3 3 _T_ 3 3 3 3 ?- _4T__ .50 _`21.? OWNER NAME: / ( V_S42'7lA?) ' INSTALLER: !%L ?07? &ML;1A ADDRESS:_ / U 7/ /S O/h?? '?1. .. CITY: L-(?/?G44h STATE: ZIP CODE: PHONE #: ((o/a. ) /7 315 3 ? 3 4 A b S ATURE OF ERMITTEE 1994 PLUMBING PERMIT (RE5IDEN1'IAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 1994 MECHANICAL PERMIT (RESIDENTIAL) I CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WfiEN PERMITS ARE REQUIRED FOR EACH UNIT. Ii ? NEW CONSTRUCTION ADD-ON A/C ADD-OfV FURNACE FIREPLACE INSERT DATE ? -9 - C7 CI' FEES HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ?1- ADD-ON/REMODEL (EXISTiNG CoNSTRUCi'ION) STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: INSTALLER: ADDRESS: CITY: G, .? TELEPHONE #: 41pO k(7?-? $ 24.00 6.00 ?-? r $ 20.0 0 .50 TELEPHONE #: 4'O9?3,0 STATE: ? \ V? r? ZIP CODE: 65 C?_ r - ? 5 i Use BLUE or BLACK Ink I For Office Use ~~of Ea ~n I Permit 1 Permit Fee: 3830 Pilot Knob Road 1 I Eagan MN 55122 ; Date Received: ; Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff- 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: „~I C~3 hc'kQti Phone: "r Resident/ \ Owner Address / City /ZipA C" Applicant is: Owner XIL Contractor n Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes / No Company: i Lr" L- r L P d:l CL Contact: ~ - Contractor Address: Xa5q-~ Vl ch-y--) 15g~V (f- City: - - State: ~M Zip: Phone: V&~) atf-~)( License !~Ec e~ct-~) ~ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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. App icant' Pn ted Name Applicants ,"6k ature Page 1 of 3 JUL-31-2015 09:02 From:Genz Ryan Main 952 767 1900 To:9B518755694 Page:l/1 � �L�� 5- 32'� . �.lse E�s_t?:. ,,� �:�.:�,c;� i�,4 /'`� �...For Oftice Use '... .-——— ---• j �—° ' l � ��?'� � P��,�t�:�� /; C�ty of Ea�a� �� — �_.b � ' �� Permh Fco: I 3830 Pilot Knob Road �� Eagan MN 55122 �'1 , ) � �� I D6te ReCeived: _ � Phone: (651) 675-5675 ��2 � l �� Fex:(651)675�5694 � � Stafl: � ----------------_� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Dete: Sita Address: �7�' � ( �l U� �Q,Qa/'') R �� , Tenarn: Suite#: Resident/Owner Name: 71SP�L! �Tll .(n�� l Q ��_ Phone:�S( �� Address/Ciiy/Zip: /V� Name:��Z�^'��,In License#� �Jp�"'� COntr�dCtOr Address:�� (A��" ��LP �.� City: ��6 6(.� State:��Zip:��J�� Phone: `1� it0� �� Contact: EmaiL• TypB Ot WOtk ,New _Replacement _Repait =fiebuild _Modify Spaca _Work in R.O.W. Desc►iption o1 work: RESIDENTIAL �Water Heater P@tmit Type —�'�""��9ation(�RPZ/_PVB) — Water Softener Septic System _Add Plumbing Fxtures(_Mein/_Lower Level) New Weter Tumaround Abandonment RESIDENTIAL FEES: � $60.00 Water Heate�,Wate�Softener, or Water He�ter and Softener(inc�udes State Surcharge) $60.00 Lawn Irrigation(includes Stete Surcharge) $60.00 Add Plumbing Fixiures,�Sic System Abandonment,Water Turnaround*(includes Stete Surcharge) 'water Turnaround(add$210.0o if a 5/B"meter is required) $115.00��ic_Svstem New(includes Counry ise and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher Stete One Call at(651)a54�0402 for protection against underground utilily darnege. Call d9 hours before you intend to dig ta receive locates af underground utilities. www.aoohersrateonecall.ora i hareby ecknorAedge that this iniormatbn Is comple►e end accurate;ihat the work wlll De in conformsnce with 1he ordinances an0 codos ot tne Ciy of Eagen;thel 1 underatend this is not a psrmit,Eut oniy an application for a pormlt, and work is nol lo eiarl wilhoin a permit;that the woAc will be in aecordanca with 11�e approved plan in the case oi work which requires a review and app► al ol plans. x_ �Av�.�'�..�n �.��_ x ApplicanYs Printed Name Ap icant's Signaturs FOR OFFICE USE Revlewgd By: Date: II Fiequlred Inspectlons: Under Ground Rough-In Air Test Gas Test Fin&i, Meter Related Items: Meter Size Radio Read Manometer Sfaff: Use BLUE or BLACK Ink For Office Use �� CityofEk Udl Permit#: i 3/1:3 3830 Pilot Knob Road , Permit Fee: (Pn -0-0 Eagan MN 55122 REC" i a �D -IS--17 Phone:(651)675-5675 Date Received: Fax:(651)675-5694 JUN 15 2016 Staff: 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 6/13/17 Site Address: 4709 BRISTOL BLVD Tenant: Suite#: Mgr ili Name: KELLY STACHOWIAK Phone: 651-454-7640 MResiden t/Own_ PIS ,..0 Address/City/Zip: 4709 BRISTOL BLVD, EAGAN, MN 55122 Name: K & S HTG A/C & /PLLBBG INC License#: MB703389 Address: (p573 Cee--;k4- C..ir City: ale s Contractor _ p ►� Q� State: MN Zip: 1! 4/.'J Phone: 9'g ��` l- i�..��U Contact. Email: -- -- , . •.. X3i"e��'G ot., .._-7,-.,_. New XX Replacement Additional Alteration Demolition Type of Work Description of work: �j � E`i _Roof mounted andfground roup •a.` c ,tca qu prment,s required r r-eened b rCity a f -_�� •.Pic�s�c�ntacttITeYMecb �lr�s•= • orr ion-onrmitted e - ethod RESIDENTIAL COMMERCIAL XX Furnace New Construction _Interior Improvement 'erm T�rpe , XX Air Conditioner Install Piping _Processed Air Exchanger —Gas —Exterior HVAC Unit Heat Pump _Under/Above ground Tank ( Install I Remove) :,' Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$60.00 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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. x BRIAN KEEHN x _ — Applicant's Printed Name Applicant's Si nature FOR OFFICE USE - f ek W Required Ins{Se�ioni,� 4 _ �� Reviewed E3y =� � ' ;; a® W Under roue RoughIrtFd s AirTes Ga Servi► ,Testi' en-floor Heat : lFinal HVA creenin - PERMIT City of Eagan Permit Type:Building Permit Number:EA145381 Date Issued:09/07/2017 Permit Category:ePermit Site Address: 4709 Bristol Blvd Lot:Block: Addition: Wescott Hills PID:10-83751-01-011 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Norbert C Stachowiak 4709 Bristol Blvd Eagan MN 55123 Wildwood Construction 4703 Bristol Blvd Eagan MN 55123 (612) 369-1422 Applicant/Permitee: Signature Issued By: Signature