4688 Bristol Blvd? ?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I;;•. ? li;d II I i f,,
PERMIT SUBTYPE:
. ,, ,.
TYPE OF WORK:
INSPECTION ., . D.
bc; NlA 9dh:; : t, itV .4a 11 !, 6 r:fi df i N 1:.1.1I
- ?
? ?? e ? ?1 I I? II h. ?
'I I
TION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? ? ? I ., ' ? • ` "I yt ..,. ? i ?} 4'! i+1
Permit No. Permit Hojder Date Telephone #
S/VY
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon Date Insp. Comments
Footings I ?? 1?4&,
Foundation 112 'IIY v
Framing
Roofing
Rough Plbg. ?
Rough Htg. 2 ,ey :)s
N
isul.
Fireplace
Final Htg_
Orsat Test
Fnal Plbg. Pibg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
//$'?-- cre•n/ wr+3v ?
Deck Ftg.
L
Deck Final ?(?
??
l 1 ?fN
1?e1
L
% 'o
V
Well bc
,,Y -7
-
Pr. Disp. ?? f ?-
/
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
? 0
SITE ADDRESS: . •- ' ? o ? ? ?... , ;? k:? ?? t:?;; ?
?,. -,? ,•3. A . i ?:?t ?l.E?C?
E 1?1R. ',, €?iI'1 1! [ I i, '?,
PERMIT, SUBTYPE:
I ! ,I ,i.l I ra(:,'s
0
iM { 1 it ! tJfi
PERMIT TYPE:
Permit Number:
Date Issued:
VI: C?4
? f , f ,.? p ? • I ' , :'' i? ?'! 'I_ ?i
TYPE OF WORK:
r, 3 t !
FA N A 1
..?.?,?..?
Permit No. Permit Halder Date Teiephane #
ELECTRIC
PLUMBING
HVAC
Inspectfon Date insp. Comments
FOOTItJGS
FOUIVD
FRAMING
ROOFING
AOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BdARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINRL
BSMT R.I.
BSMT FINAL
DECK FfG
DECIf FINAL
-
-
? -- ----a
- ? I
" 4-4:
!
?
?I CftL`ttfiCQ#C tlf CCC1[PttxtCV`
'Kitv of ?aga?
Zevattmcut a? SumbIg ?u?rcction
This Certificate issued pursuant to the requirements of the Uniform Buiiding Code
certifying rhat at the time nf issuance this strueture was in compliance wirh the various
orrlinances of the City regulceting building can.structioR or use_ Far the following:
Use Classificatiort:SF UX Bldg. Permi[ No. 2502c)
Oocupancy Type R3l/M l Zoning Distr;ct R) rype Conse. VN
Qwoer of Buildng KEYLAM HOME5 AdMess 17021 FISMINr R-D' P-RIOR L40
sWww naorez 468$ ffiiISML BOU[E'VARD Lomiin MI. 13, MEIV HILM
?-
,owwiug officw
POST IN A CONSPI!CIfOUS P1ACE
iddress 4688 ffiusml. Bal"ARD Zip 5512 ;
i.dt '' y Blk 3 Sub wFSmx HnT.s
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)
Permanent steps (main entry) ?
Permanent driveway f
Permanent gas ?
Sod%Seeded grass
TraiUcutb damage f
Porch V/
Basement finish f
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 pptential exists.
ContaM engineering division at 681-4645 before working in righ[of-way or installing undergrouqd sprinkler system. ?
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
0-1 4?512
A ? ? ????
' -
I 8?
Feq est Da e
_?? Fre No, Rwgh- n Insp6cbott'RaqmreG
(VOU 1 call mspecror when ready) Inspectionatly Othar Th?n ?ough-In
? Re Now Will NotAy Inspecror
? Ves ? No Dete Reatl
IKlicensed contractor ? owner hereby requast inspection of above electrical work at:
Job AtlCreea (5[reet, BoCx or Route No I
` Ci
6D
5 vd-
Secllon Na Township Neme or No Range N. Caunty?.,
L? '
Occupant(PRINT Pnone No
Power Suppller Atltlreas
Elecitlcal Co cror (COmpany Name) Contrectors
L
ice No.
? ?-/--
(/C?+CiL?l?-C? ?
{
MaAmg Adtlresa (COnV [or or pwner Making Inelalle[ion)
.
-
w,
717-
5
Authonzed Signa re(COnt2clor/Owner Making In^stallation) Phone ?NJumber?y
MINNESOTA STATE BOAHU OG ELECTRICITY THIS INSPECTION FEQUEST WILL NOT
Gtlggs-MlEway 81tlg. - Foam 3428 8E ACCEPTED BV THE STATE 80AF0
1821 Unlverelty Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone I6141 6A2A800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION
?
,2 /5 95 ? See mslmctions Por compleeng this torm on back of yellow copy
"X" 8e/ow Work Covered by This Request
' EB-0000W9
?''
x?
Ne Add Rep. Type of Building Appliances Wired Equipment Wirad •
Home Range Temporary Service
Duplex Water Heater Electric Heating '
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other Specify
Farm Air Conditioner
Other(specity) Conhactor's RemarkaCompute Inspectian Fee Below;
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps O- 0 to 700 Amps
Transforrners Above 200_Amps Ab 1 0-Am s
SI ns inspeaor's Use Only TOTAL
Irrigation Booms
S ecial Inspection
Alarm/Communication THIS INSTALLATION M BE ORDERED DISCONNECTED IF NOT
Other Fee -50 COMPLETED WITHI ONT . '
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. RougRm •
a Dal; ?p - l
Date
OFFlCE USE ONLY ?
This request vaid 18 months irom
?----------------i
I Kgi;Off'c'e!Use ?
1
I
j Permit#?
I Permit Fee: ?
? Date Received???- ?
I ?
? Slaff I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ? ?FOo Site Address: / cG9'3 4LS1-, ?_?l /Q
Tenant:
Suite #:
RESIDENT l OWNER Name: i/"v luPo / Phone:
Address 1 City / Zip:
Applicant is: ? Owner Contractor
TYPE OF WORK Description of work:
Q C0
Construction Cost: C?? Multi-Family Building: (Yes _/ No
CONTRACTOR Name: License#: 231 ?U9/'
? p O
Address: ?? ??7/SivC /7lv?
City: Z4,7',qh,On J State: Zip: SSI Z?
Phone: ?'/Z "3&9 Contact Person: 'elz
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Cdt6gory Submitted Submitted
(4 submission type) • Energy Envelope Calcuiations Submitted
In the last 72 months, has the City of Eagan issued a permit for a similar plan 6ased 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 documenfs that you submit are considered fo be public information. Portions of
the informafion may be classified as non-public if you provide specffic 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 inconformanceawdh e or inances 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 st ithou 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
x
ApplicanYs Printed Name ? APP ?
Page 1 of 3
'3
? CITY OF EQGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675 '
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
aurLozMs
028240
07/16{96
SITE ADDRESS:
p.I.N.: 10-69750-090-03
DESCRIPTION:
4688 BRISTOL BLVD
Lp7: 9 BLOCKa 3
WESTON HILLS
Permit Type DECK
4,ork Type NEW
434 ALT. RESIDENTIAL
AM
?'7M,
????'? _ ' 6 ie ??? ? ? :? 0 G
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge ?.50
Tntal Fee $45.50
CONTRACTOR:
h; '•3nf;
,-
OWNER: - Hpptxcanz -
VEAL BRUCE
4688 BRI57QL BLVD
EAGAN MN
(612)452-9819
?
k. .?P
.. . R...i.`
,?
?9a y?0
?
?
?
681-4675 J-P
Rema:eUReoair Reauiremente ?
3 registered site eurveys ? 2 copies of plan
2 copies of plans (inGude beam 8 window sizee; poured fnd. design; ele.) ? 2 site surveys (exterlor addRions d decks)
7 energy calculetions ? t energy ealculations for heated additions
;M??
7f1 ?,
3 copies of tree preeervation plan if lot plalted aRer 7!11/93 Ilk
required: _ Yes No 9
DATE: ???6 4-r6. CONSTRUCTION COST:
DESCRIPTION OF WORK: z2t GfC 6K/ 13,q-c
ST EET ADDRESS:
LOT -?Zg BLOCK SUBD./P.I.D.
L ,gcLV
?
U f 4C-
??
Phone #:
PROPERTY Name:
OWNER
Street Address
State: Zip:
City:
CONTRACTOR COmpany: Phone #:
Street Address: License #:
City: State: ZiP:
ARCNI7ECT! Company: Phone #:-
ENGINEER
Name: Registration #
Street Address
City: State: ZiP:
Sewer 8 water licensed plumber.
change are requested once permit is issued.
Penalty appiies when address change and lot
i hereby acknowledge that I have read this application and state that the information is correct and agree to comply with atl
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFiCE USE ONLY ??CEVED
Certificates of Survey Received _ Yes _ No
J U L 0 9 1996
Tree Preservation Plan Received - Yes _ No
CITY OF EAGAN /
3830 PILOT KNOB RD - 55122 ?ls ?j?
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) ? v
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
51TE ADDRESS:
P.I.N.: 10-83750-090-03
DESCRIPTION:
PERMIT
PERMITTYPE: BuxLozNG
Permit Number: 025029
Date Issued: 01 / 10 / 9 5
4688 BRISTOL BLVp
LOT: 9 BLOCK: 3
WESTON HILLS
BL(Ilding,Permit Type SF DWG
Building 1.78xk Type NEW
UBC Occupancy'., R-3 M-1
`
Construction Typ,e V-N
Zoning ?--? R-1
euilding Length ? 44
Building Width 50
euilding stories? 4
Sq"uare Feet 1,727
s,?
1
? ^v
0?
3?15'?
?'`' q,1Iq50'
REMARKS
PRV S& W PLBR - I] C MECH
FEE SUMMARY:
VALURTION
Base Fee
Plan Review
Surcharge
SflC
SAC $
SAC Units
Subtotal
$674.50
$438.43
$55.00
$850.00
100
1
$2,@17.93
$11@,000
MISCELLANEOUS $1.892.50
Total Fee $3,910.43
CONTRACTOR: - Applicant - 3T. LzC. OWNER:
KEY LAND HOMES 14409400 0001553 KEYLAND HOMES
17021 FISH POINT RD 17021 FISHPOINT RO
PRIOR LAKE MN 55372 pRIOR LAKE MN 55392
(612) 440-9400 (612)440-9400
I here6y acknowledge that I have read this application and sCate that the
information is correct and agree to comply with ell applicab2e State ofi Mn.
3tatutes and City of Eagan Ordinances.
?
APPLICANT/PERMITEE SIGNATURE ISSUED B? SIGN E
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lnr: s BLOCKs
4688 BRISTOL BLVD
WESTON HILLS
PERMIT SUBTYPE:
SF DWG
PERMITTYPE: suxLoxNG
Permit Number: 0 2 5 9 2 9
Date Issued: 01 / 10 J 9 5
3 APPLICANT:
KEY LAND NOMES
(612) 440-9400
TYPE OF WORK:
NEW
INSPECTION
OOTINGS ., .
FOUNDATION .A
RAMING ROOFING
NSULATION FIREPLACE
OU6H IN PLBG ROU6H IN HTG
INAL PLBG FINAL
EMARKS: PRV
S& W PLBR - D C MECH
?
I
,
i6019
q? CITY OF EAGAN ??????
199?#'BUILDING PERMIT APPLICAfJAN 681-4675 0 61995
+Q =Z+.L_ _ w'io
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. I
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 j Pt? 199? Valuation of wark
Site Address: A(?
STREET SUITE !f
Tenant Name: (commercial only)
LOT BLOCK ? _ SIIBD.w Y.I.D. #
Descri tion of work:
The applicant is: 'Sl Owner 13 Contractor ? Other (Describe)
Name V? ov-+-) F 5 Phone44C'?f14U0
-
Property ?A?
F,RST
Owner Address 1-707- l ??_VO;47
1Z?
STREET STE #
City?lOQ-- State \V\ ? Z i p ?:_:5 -2a+
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber b.C.. MFZc??UAL,, . 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 ta comply wit 1 appltcable State of M nnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant: 42
? -
7
OFFICE USE ONLY
BUILDING PERMIT TYP E
O 01 Foundation O 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
IK 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
El 03 SF Add9tion ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 5F Misc. ? 10 Mulfi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
)( 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 5-7(o MWCC System
(Allowable)
UBC O p,qn.AvC F1. sq. ft.
F1 ? City Water
i
PRV R
d
?
ccupancy ? 3Znd
. sq. ft. equ
re
Zoning =L Sq. Ft. total Booster Pump
# of Stories f".s Footprint Sq. ft. Fire Sprinkl er
Length On-site well Census Code
Depth ? On-site sewage SAC Code oi
APPROVALS eensus Unit
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site
? Wallboard
cEKFooting
?al
-0-Framing
? Draintile
COQ nsulation
O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
COp12S
Other
Total:
SAC %
SAC Units
rsu.cson: g //D,ooo' ?
?PpG2 C?G ?C LS ?.?q.aA4 C
(ma,.. Oaa,z,.,s) y z x/9•G7 • ?/33
Z ? r e/y
Z KTL = bY
y X 4?39 r
?- 67, 39z
? Z?ra.?sy= ? ozy
Lcvt< 3 `
(jinMicr Q>
.?---?-
2t?
g
zb xzo = S"y° ,,?b
2 x v = 49 ?
yxid = Ha
5?71o r /.f °?r ? y?
, ?* *
* Pic? w+o wnvcraxs • aNk vNarcms
* en e ?ANO P?ANNERS. LANoSC,,PE MM,EC,S
* * *
?
Certificate of Survey for: KEYLAND HOMES
4688 BRISTOL BIVD. 3670-A
' 3Q
1
938.7 /q,0
9392 / ?ln?'!
/
IEL.E. 8 TL PED6?/ ,
M
i1lOPOSED alAUE3 910NN PFR qtA0N0 PMII 8Y: PROBE
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914 FAX:681-9488
625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
po?oVn
/
46
NOIf: BUlDM/0 OIAEN.AO/S 9101M1 NK f'CR lIORIZCNTAL A1p VRR110AL 1M CERIFICAIE D01111.1 qOT PIKWORT TO 910M EASfJlfl119
LOG710N OF S'IRUCMRS qlT. gE Mq*iCC1UAL. PLANS FQt BIMDRIO O1FER 1NAN 7F1M 910YM! dl TE RECOImED PUT.
AlID FOUNDAtIdI OOIEl190NS '
eqh: owmAcroR wsr vemFr deuMr otyaK ? r SCALE : 1 INCH = 30 FEET
r+oh: Ho ?carx sas rRsnaAna w?s eEON oar?ho w nMS E?Aft euuaM SHOW AM AasiNo
Lor er M wrtWwn. n+[ surtAautt a sM m arPant nc
SPECOIC NousE PnavoSEn rs Not,NC.ar.NMSML,Tr oF ,M xMllE,v. -tYi$iota__ ........... ..... K n ?.,.r„u
x ooo.oo Denotea Existiny Elevattan
( oao.oo ) Denotes Propoaed Elawtlon
Denotes Urainaqe & UtNlty Eaae
Denotee Dralnage Flow Dhection
--Fp. Denotee Monument
---8-- Denotes Offeet Hub
,?.._Lowest Floar Elewtfon: 3 S 3
7-?w?wA?1?*? f S 'fop o1 Block Elevatron: 9 '1 3- ¢
?G?Onaqe Slob Elevotlon: ? g 3• U
WE HEREBY CERlIFY TO KEYLANO HOMES THAT THIS IS A TRUE ANO CORRECT
REPRESENTATION OF A SURVEY OF 1HE BWNDARIES OF:
LOT 9, BLOCK 3, WESTON HILLS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCFIROACHMENT'S, EXCEPT AS SHOWN, AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 9 AY OF D EC• . 1994.
?Z.o ?5? ? IZ• 2Z ?rj¢- /I!o/7a?? ?
?G' . /?ONEER ENqNE NC, P •
v .
LOT BIIItVEY CHECRLIBT FOR REBIDENTIAL
SDII.DINO BERMIT APPLICATION
pROPERTY LEGA
?Q &
z
? Lt
'
a
y: 9?
Dat• of
3
? 7-7
DOCDMZ''iNT BTRNDARDB
y7e' 0 • Reqistered Lnnd Surveyor signature and company
n p • Suildinq Permit Applicant
O • Leqal description
d 0 0 • Address
" 0 • North arrow aad bar acale
tY D 0 • House type (rambler, walkout, cplit v/o, split entry,
lookout, etc.)
?0 0 • Directional drainaqe arrows with slope/qradient t.
ve?0 D • • Propoaed/existing sewer and vater servicas
V 0 • Street name
0 • Drivevay
as.EvxTxoue
2-13
p
• Exiatiaa
Sewer service
O-'D 0 • Lot corners
2??0- 0 • Top of cnrb at the driveway
Q' p p • Elevations of any existinq adjacent homes
[?
[
[
0
• proDesed
Garaqe floor
0
0 0 • First floor
CY 0 0 • Lowest exposed elevation (walkout/window)
D • Property corners
La' O 0 • Front ane rear of home at the foun8ation
blal
l3
0 8r D • cs
PONDING ILRMAS (if avp
Easement Iine
O C9' O • NwL
D 0-? 0 • Hwi.
??
0 D • PonB ?I designation
?'
D D D • Emerqency Overflow Elevation
DiMENBiO1tB
H' 0 0 • Lot lines
D' 0 0 • Riqht-of-way and street width (to back of curb)
?0 0 • Proposed home dimensions fnoluding any proposed decks,
overhangs qrenter than 21, porches, etc. (1.e. all
structures requiring permanent iootinqs)
0-113 D • Show all easements of record and any City utilitiss within
?p
p • those easements
Setbacks of proposed structure and setback of adjacent
existing homes
Q L?L? • Retaining wqu#ments, iF any
/
/
??
Reviewed:_
, {
October 1992
.?._.. y ? J?y?A ?O
in.i
• - _? ?h?r.•1?"?"`_?' (?I F'.i?F?.; >11L?
--? ?- . r ^Y C1F UTILI'i'! t_GCATIOPd'o o
S
I'-:1•?3 !-),rjifr1 I$ FOR ' wve o+74 SO" -
-'+ A?? • SAN ELEV. p PL 929.45 ??y
i... : FU;?;? o? 0?iLY \ ,?.?a 5?c
i"I G 1-,C:1LD !' _1-_: =Y 7H:. • e
..._` -- i"i"E. 10
?o• s ,
? WYE 1+98
! AN EL£V . @ PL 927.65
7
6
WYE 2+70
r86 SAri ELEV. @ PL 92825
P? 931.08
6•HVOHANt
11'.5' DIP 1
g•X6" TEE I 1
Cg 11 S
WYE 1+06
SAN ELEV. @ ?- 928'16
i? s•
C-1
cn
0
r
+
?
.,
,
?
9
WYE 1+70
SAN E1.EV. @ PL 9280
pz? 11 6
?
?
,
C
1
5,
_ f z
J Nl ?
•
1 ?
? O I E @
El
5 N, 5+15
WYE p? 928.13
X
938.5
RGENCY 0 EHfIOW EtEY.
'
7.40
pt
92
1 ELEV.
? SAN ?O
Il iI
ElAE 29 .
?
?
28
2^J N 1 1
, ' `:
1
• wrE o+05
fE 0+83 SAN ELEV. @ PL 928.50
to
l. Cql Pl 931.00
0
/? .
M1 ?
?
i `
ST MH;120
33
w '
SAN ELEV. @ PL
- ?? 32
?`?
wve ,+sa 1>
ELEV. @ PL 929.06 ?
31 W YE 0
\'\
+30 SAN ELEV. @ PL 928.ss
?
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:R BOXES - CMANGE STORM PROFILE GRAPFNCALLV
'ER CRY REDUES7 ON TMEIR 2HD REVIEW
REMARKS
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, ? ... ... ...
...................... .._. .. .. ? .
........? ............................ : ............ ............... ........ , . .. .. . .. . .. . . _
. . . ... ... .... .. ? . . . . : . .. .. ....d? . : .
... . .
? . .... : . . . ..T . .... : ?? ?
i i9aao acP @ a7°% : •F
u....:....
8
SANITARY SEWER, STORM SEWER & WA
WESTON HILLS
CITY PR0.IECT NO. 92-1
EXTERtOR Er1VELOPE AVERAGE "ti" COMPiITII,T.ION. Z, ee-
OWNER :_ pAit A,\)\?,?TONn? _---•- ------
SITE ADORESS: I.?? ?r ??TOt. ?'.!=l-v?>..
CON7RACTOR: ?/?_'-?• A?'? ?? M?+
nnrr
PhIONE: A4 O"Cl4cOc)
PIFN ? 4*3?? v
Determine working square foota9e of each
!. Total exposed wall area..... _?3c sq. ft, x.11 sp
2. To:al roof/ceiling area..... sq. ft. x.026
Total exposed wall area above.floor=__ S?
a.
b.
c.
d.
e.
f.
9-
h.
i.
J•
Total wzll window area ...........................................
Total door area ...................................................
Total sliding glass door• area ........................,...........
Total rireplace wall area ........................................
Total wall framing zrea (average 10%) ............................
Total rim joist area ....................... .:....................
net wall area above floor ..............."......................
wall area a6ove rloor .....................................
wall zrea a6ove floor ...............:.....................
frame wall area at =o?ndat;or ....................................
Total exposed fioundation area= 77i
k
1
Total foundation window area .......................
Total net.ioundation area zbove grade ..............
Determine "u" value of each wall segnent
(e,y. window, (ioor, each separate wail section)
z. 10 ? X
b 3? x liu„
c._ ?o X „u„
d. --- X llull
e. ?'13 x u?? 7?t11
f. (d? x „ull
y. 1 70 1 x llu,l ? ?•? _??
n
;.
j .
X liuii
x t,u„
x 1. u1.
x °u°
l. 7Ti X ?V. =
/O/
3
3
!
If item 13 is th-
as, or less thzn
A1, you have me*_
intent of SBC oC_
3 . .................................Total = ??? ?
. F? .? ? . r? •"' - ,
4. TOTAL EXpOSED ROOF/CEILItlG CALCULATIONS:
Totzl exposed roof/cei l inq area........ ?L0? 9 ft
: j) To[al skyliaht area....... -- sq fC x"U" ^-- ° "-
k) To[al roof/ceilinq framinq ???
area (Averaae IOR)...... 12•2 ?'a sq ft x"U" ?? , I?2',?t`( 01
1) Total net insulated
roof/cei 1 inq arez....... 14211 ^;jc77j sq ft x"U" ,Cz<,a , r??= z7?3 IZ•?C
L.. T07AL j) thrv 1) SC?7i
I; total o` `tE is the same as, or less than NZ, you have met the intent o`
2 MC:..Z 1.16005 :4 ar_d 0.
. ALTERP:ATE BUILDIPiG ENVELOPE DESIGN
To uiitize the total envelope sys[em method, the values established by the sum
of itens 93 and :64 shall not be nrea[er than the sum of items N1 and 92.
+ 2. G ?
+ 4. ?? ,?? = 7..vZ? vr
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS VVHEN PERMTTS ARE REQUIRED FOR EACFi UNTT.
X_ NEW CONSTRUCTION
ADri-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE ? \'-) -`l S
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTLJ 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) ?0•
ADD-ON/REMODEL (ExISTING CoNSTRUCi'ION) $ 20.00
STATE SURCHARGE .50
TOTAL ?JV . S U
SITE ADDRESS:
OWNER NAME:_?e?+? TELEPHONE #: ?AIA??1 y 00
INSTALLER: Ne.\ rp
ADDRESS: \\o \? e.\ C o "-4,- ?\U e.. S , (? ,
CITY: e 's'' 0,-- t-C"Y e-
STATE: V'l NJ ZIP CODE: ?5 s'3 7?-
TELEPHONE #:
SIGNATURE OF MITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
L ? gL gt, CITY USE ONLY RECEIPT #: 26' ?
SUBD. ?)tAS? a?L DATE: ?' C0 9S ?
1995-PLUMBING PERMIT (RESIDENTIAL)-
CITY OF EAGAN
3830 PILOT KNOB RD EAGAN, MN 55122
(612) 687-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Snowar - 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 x 40
Lavatory 3.00 x e2
Kitchen Sink 3.00 x
Laundry Tray 3.00 x _
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x T- = 3?
Floor Drain 3.00 x
Gas Piping Outlet * minimum - 1 3.00 x 7_ = 3. 6ro
Rough Openings 1.50 x 3_
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler ' home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOYAL ?
SITE
OWN
INSTi
STREET
cin: I
?h
?
STATE: ?? ZIP: S S PHONE #:
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Use BLUE or BLACK Ink
r
For Office Use
Permit #:I 1 (1'40]
j
City of Ea I Permit Fee: ~S
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
I
Name: ~91, 699 !v EAL Phone: f,(Z (.9 - g~' 3
Residentl -
~lv(~~tS
Owner k Address / City /Zip:
Applicant is: Owne Contractor
Type of Work Description of work: Egftg
j Construction Cost: Multi-Family Building: (Yes / No
Company: Contact: -/•C cr~
`
Contractor Address: !60 ~ 1 Since 131"Ar, City: FR&Sd J
State: imll,/ Zip: Z 3 Phone: (/2 -366 1 % za
License ( - /S(? t., t I 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:
,w _
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.
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.orp
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 b mpleted within 180
days of permit issuance. P
x 94L f~aI/►_~, ~ x _
Applicant's Printed Name Applicant's ignat
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143713
Date Issued:06/26/2017
Permit Category:ePermit
Site Address: 4688 Bristol Blvd
Lot:009 Block: 003 Addition: Weston Hills
PID:10-83750-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bruce W Neal
4688 Bristol Blvd
Eagan MN 55123
(612) 414-7274
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146720
Date Issued:11/09/2017
Permit Category:ePermit
Site Address: 4688 Bristol Blvd
Lot:009 Block: 003 Addition: Weston Hills
PID:10-83750-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bruce W Neal
4688 Bristol Blvd
Eagan MN 55123
(612) 414-7274
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155066
Date Issued:04/25/2019
Permit Category:ePermit
Site Address: 4688 Bristol Blvd
Lot:009 Block: 003 Addition: Weston Hills
PID:10-83750-03-090
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: 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 -
Bruce W Neal
4688 Bristol Blvd
Eagan MN 55123
Wildwood Construction
4703 Bristol Blvd
Eagan MN 55123
(612) 369-1422
Applicant/Permitee: Signature Issued By: Signature