4706 Bristol BlvdN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
. ?? .
I
ON RECORI)
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
INSPECTION .A . D.
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Permit No. Permit Holder Date Telephone #
S/W
PLUMBING ?
-,?,
L
7/01
HVAC
ELECTRI 6ro
ELECTRIC
Inspection Date Insp. Comments
Foatings I ?1?114 . /
G(/
Foundation
Framing /??? ?
?Y • ,? ? 4f„t
GC!
Roofing
Rough Ptbg.
Rough Htg.
Isul.
Freplace
Final Htg.
Orsat Test '
Final Plbg. ,/`,+r? ,c{ Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Ffnal 2
Dack Ftg.
Deck Final
Well
Pr. Disp.
r
f ?...! ?
(5j*eLL'ttfiCQt¢ of cCClivanCv
lKim of ?agan
'Meoartmcut uf !Snffbing ?a??ction
This Cenifcate issued pursuaret to the requirements of the Uniform Building Code
cenifying that at the time af issuance lhis structure was in complianee with the various
ordinances af the City regulating building construction or use. For the following:
Use Clusification: !ST -M Bldg. Permit No. 92$46
Occupancy 7'ype R3?1?'11 Zoning Distritt R I 7ype Const. IN
Owner of Building WW,13 RY ('RA.ST'+. Adlrzcc75?O-CDL2n ({7 , R!STrT LF
Bui"ngnddress4706 BRTS'i1C]T. RTUD LocdiryT.16, 1114, WESTM 1M7S WM
/
?< <
e?w? otrc?
POST IN A CONSPICUOUS PLACE
Address ' 4706 Bxtsmt. BOULEvaRn Zip 5512 3
Lot tb Blk 4 Sub ?dESmta HiLLs 2rID
THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: a9 Yes No Inspector:
Final gtade (6" from siding)
Peimanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Pecmanent gas ?
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plum6ing system and the shut-off of water supply ro
the outside lawn faucet before freeze potential exisis.
Contact engineering division et 6814645 before working in righbof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink • ConvaMOt Copy 0
/Yo?/
M?/?
°"
rr
68(3 p
Req? t Qate ?
/ Fire No Floug -in InsOechon
Hequired'+ rypTICE: Vou Must Call EIBCYical Inspedor
IF A Rough-In Inspetlion
i
d
Ves ? No Is Fequ
re
I4N,ricensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (SVeet, Boz or Route Na) City
q ?h.i.ot' Q JcQ £
Sscfwn No. Township Neme or No Ranpe No. Caunry
Occupent (PRINn PMrre No.
-L b- s 3 3
Powenr Supplier
w
M o-k 1RtoO Address
l Contracta (Company
N
ama)
ElecYnta CoMractor5 License No.
J
(
?
1
1 V "\ ? 1 1 t 0 ?
Malirg Atlaress (CqM1Uaclor or O er Instellahon)
? ' '
41 rp
YN
ANhorized Sig ure , oMractodO.vner Mekmg Installation) Phone Numicer
5) -v-4sJo D
MINNESOTA STAiE BOARO OF ELECTNICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway BICg. - Raom 5113 BE ACCEPTED BY1FiE STATE BOARD
1821 Unlvereiry Ave., St. Paul, MN 5570! UNLESS PROPEfl INSPECTION FEE IS
Phone(61P) 692-0800 ENCLOSED
?ry/O REQUEST FOR ELECTRICAL INSPECTION
M?? ??? Se.nstmqans lor completrtg this lorm on beck of yellow copy
'JC" Below Work Covered by This Request
eaooaoi-oa
g /403?
„?.
e AEd Re. ' TypeofBUilding AppliancesWired EquipmenlWired
Home ange Temporary Service
Duplex Water Heater Elecinc Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (epeaty) Coniraclor5 Remarks:
Compute Inspection Fee 6elow:
# Other Fee # ServiceEntranceSize Fee # Cucwts/Feeders Fee
Swimming Pool 0 to 200 Amps j 0 to 100 Amps y.
Transformers Above 200 _ Amps Above 100 _ Amps
Slglls Inspector6 Use Onty?
j OTAL
Irrigation Booms ,
/I? •?(J 90 , 5 CD
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE O ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NT C
I, the Electrical Inspector, hereby pough-in ? oa+e y
certdy that the above inspection has
heen made.
? a
-
OFFICE USE ONLV ?
This repuest wM 18 monlhs irom
? dITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
? y
BUz Lr N r
022846
01/19/94
SITE ADDRESS:
4706 BRI570L BLVO
LOT: 16 BLOCK: 4
WESTON HILLS 2ND
P.I.N.: 10-83751-160-04
DESCRIPTION:
BAPilding•"=.P
ermit T
ype 5F DWG
?
,
Puilding WWCk T y p e NEW
UBC bccupancy Fi-3 M-1
?
Construction Ty V-N
Zoning R-1
Building Length 59
B•uilding Wi,dth ? 36
B ilding sto,ries 2
?
REMARKS
PRV
SUMMARY:
S& W PLBR - VALLEY PLBG
VALUATION
Base Fee
Plen Review
Surcharge
SAC
sac %
SAC Units
Subtotal
$769.00
$499.85
$68.50
$800.00
100
1
$2,137.35
$137,000
MISCELLANEOUS
Total Fee
I
I
$1,828.50
? $3,965.85
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
HOMES BY CHASE 18955337 0001619 MOME5 BY CHASE
2500 W COUN1'Y ROAp 42 260 2500 W COUNTY ROAD 42 260
BURN5VILLE MN 55337 BURNSVILLE ? MN 55337
(612) 895-5337 (612)895-5337
I hereby acknow3.edg2 LhaC T have read th3s application and state.that the
information as corrsct and agree tQ comply with ail a?pRlicable State of Mn.
5tatutes and City of Eagan Ordinances. ?
L
??G?y?-•- L
APPLICANT/PERMITEE SIGNATURE ISSUED Y: GNATU E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L O T N G
3830 Pilot Knob Road Permit Number: 0 2 2 8 4 6
Eagan, Minnesota 55123 Date Issued: ? ta 1/ 15 / 9 q
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 16 BLOCK: 4
4706 BRISTOL BLVD NOMES BY CHASE
WESTON HILLS 2ND (612) 895-5337
PERMIT SUBTYPE: TYPE OF WORK: i
SF DWG I NEW
INSPECT10N
FOOTIN6S .. .
FOUNDATION .A
FRAMING I
ROOFING
INSULATTON FIREPLflCE ?
ROUGM IN PIBG ROU6H IN HTG
FINAL PL86 FINAL
REMARKS: PRV
I
S& W PLBR - VALLEY PLBG
?
REACTIYATE _
PtRMI?T S
?
?
CITY OF EAGAN
BUILDING PERMIT
/?-3 ?'?681-4675
APPL $g1 r??'`
I ???V?
JAN 12 1994
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, ener
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 Valuation of work i3926
Site Address: )!5z ?tx?
STREET SUITE Y
Tenant Name: (commercial only)
IAT ? BIACK ?-?- SUBD. P.I.D. M '
Descri tion of work:
The appl i cant i s: wner Contractor ? Other (oes«tne)
Name ? Phone 51- ? 33 ?
Property L 5 F,RST
Owner qddress 2(-V0 C.v - G4 ?6,)
STREET STE M
City 4 /e-11 11-e- State n Zip S`Sz397
Company Phone
COnt1'BCtOr Address License # Exp.
City State ZiP
Company 114 Phone
Architect/
Engineer Name ?-- Reaistration #
Address
C;ty State Zip
Sewer & water licensed plumber ' . Processing time for
sewer & water permits is two days once area as been ap oved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ???
OFFICE USE ONLY
BUILDING PERMtT TYPE
? 01 Foundation
p 02 Sf Dwg.
? 03 Sf Addition
? 04 SF Porch
0 05 SF Misc.
? 06 Duplex
0 07 4-Plex
O 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
It
? 11 Apt./Lodging %9b.
? 12 Multi. Misc.
? 13 Garage/Accessory
0 14 Fireplace
? 15 Deck
WORK TYPE
R'31 New ? 33 Alterations ? 35 Tenant finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
;
+ r „4
..n.+- . .
a 16 BasemerrC"ffnish
0 17 Swim Pool
O 18 Comm./Ind.
0 19 Comn./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Lonst. (Actual) V/L Basement sq. ft. l?G ? MWCC System
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy -3 -/ 2nd F1. sq. ft. z PRY Required
Zoning Sq. Ft. fotal Booster Pump
# of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code
Depth 363? On-site sewage SAC tode
APPROVALS
Planning Building Assessments
Engineering - Variance
REGIUIRED INSPECTIONS '
? Site
O Mallboard
Z Footing
23 Final
0 Framing
? Draintile
/o %
?
1
0-Insulation
? 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.
Copies
Other
Total:
v.wsctp,: Oa D
!3s , f?/*
2gk z6 = ?2ag
B,Sk 3 = zs?
2a,+ Iy : z?o
('7 k
Z
/DazfiSy =
gA I
- ?os
?-- 1)33?
ll .
13?J 1Si S_ 0
sy
SAC %
SAC Units
786
VEYOR'$ CEFtTIFICATE
HOMES BY CHASE
? OT 9 , Z. ?1 ? ?
949.Ov.I. 1,66.01 /V.'Zf°`v61,W4
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T?OP OP PIPE
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b.GpAINMiC 6 U7ILATY?-
, EASEMENT PER PLl+T+?'-"-?"
14 7" /4
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c?"??94g3 ?y 9RS,S
?•.es v,o iv?e• esz'.?o
EAGAN
REVIEWE4
ac S - `?' -
_ i? ?3•9y?'-?
y7???,? TDL BL_t%
FDo R ova -l; !, ``t))L' !1 RED
NpTB I NO SFE<:IN"IG SOIL'9 INVIESTIOATIOlV HA9 dEIEN C6MPLHTEU
ON THIS lOT 8Y JAMH9R. HILL, INC, 7H@ 9UI7ABILITY CF
$OII,S TO 9UPPDRT THe 9PECIFIC HOV3e PROPOSED 13
NO7 7HB RESPONBIBILITY OF JAMES R. HILL, ING.
-*- DEN07E5 PROPOSED SURfACEi ORAINAGE
O bENO7ES IRpN MONUMENT SET
• DENOTE3 IRON MONUMENT FUUND
XOOO,d DENOTES EXiSTING ELEVATION
(000.0) P@NaTES PROPOSED ELHVATIUN
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EAGAN ENGINEERING DEPT. '
MOTE? tl?R.OINO DIMENSi0N9 5HOWN ARE Fp H I?DRIZONTAL
d VFR7IGAL LOCATlON OR 57RUC7URE ONI,Y. SHfi
OIM2NSqN5?? ?N? rct(! pl11LpIN6 a Yt1UNUA'1'IGN
SCALE: 1 INCIi W 30 FEFT
PROPOSED GARAGE FLOOR - 943.8 FEET
PROPOSED LOWEST FLOOR - 93b, 1 FEET
PRUPOSED TdP OF BLOCK - 944.2 FEET
WE HERE9Y'CEHTIFYTO HOM86 BY CI1A86 1'HAT THIS 15 A TRUE ANp CORfiECT
qHPAESEN7ATION OF A SURVEY bF THE BOUNDARIE5 OF:
Lot ie, Bloak 4,•W6STON FIILL8 gND ADOITIDN, aooordlnp to the reoordlyd plal
thsriofO Dakota County$ Mlnns*ota.
Gq? SHa 9 g? S
IT DO@S NOT PURPORT TO SHOW IMPROVEMENTS OH ENCROACHMENTS, EXCEPT
SUfiVEYED BY ME OR UNbER MY DIRECT SUPEHVISfUN THI3 /Zs?`DAY OF
31QNE0: JAMES . NILL, INC.?
PROPOSED 6FiADES SMbWN WERE, (•?^?
TAKEN FROM THE 4RAdN6 PIAN
FOR WESTON HtLL$ 9ECOND 'ADDITION F-.
PREPAR6C BY PIONEHR lNO. BY.
QARY R. HftRRIS, LAfVD &URVEYOR
MINNESOTA LICENSE NUMBSIi 10943
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James R. Hill, inc.
PLANNERS ! ENGINEEFtS / SURVEYORS
2800 W. C7'Y. Rb• 42 * BURNSVILLE, MN. 66337 • 812•980•6044
---5C----------------------------------------------------------------------------------------------
LOT 8DR9LY CHLC1CL28T !OA RL82DLNTZIIL
? SIIILDIIiG pZRtQIT A??LIC71TI0lT
tRODERTY LEG11Lf n,
Date o! surneps
DQCIIMLNT 6TaND71RD8
V 0 • ReqistereC Land 8urvsyor siqnature and eo?pany
0 •
• Suildinq Permit Applicant , '
Leqal descziption
S ? • ]?ddrsss
? ? • tiorth arrow and bar acale
8' G 13 • Iiouse type (rambler
waikout, sp11t w/o, split entry,
2--'0
D
• ,
iookout, atc.)
di
t 4
i
i
sn
.
D
rfct
onal draiasge arrows vith siope/qra
? 0 • Proposed/axistinq sewes and vater aervices
D • street name
D 0 • Driveway
L'LEVATIONB
fl ZrI0
• Lximtine
Bewer serviee
0 D
?
0- D •
• Lot cosners
Tcp of curb at the driveway
-
D? O • Elevatior,s of any existing adjacaat homes
8??
D?0
D
D
• pzmesee
Garage floor •
i
• F
rst floor
TY 0
? G • Lowest exposed slevatioa (walkout/vindow)
0'
D 0 • Property eorners
V0 0 • Front and saar of bome at the toundation
T
n e 0 • Easement line
D O"D • rtwL
D V D • ttwL
0 6??? • pond f desiyrraLfon
D O" D • Emerqeney Ovezliov Elevation
airtaNS=oxs
? • Lot linea
0 D • Right-ol-way aad atreet Width (to back of cwrb)
?
? 0. • Proposed Aome dimeasioas inclvaing any psoposed •decks,
overhengs qreater thaa 21, porches, etc. (i.e. all
structures requirinq permanent iootinqs)
?fl D • show all easements of record aad aay City utilities wlthin
those sasementa
lY? D • Setbncks of propoaed strncture and setback of adjacent
O?• sxistinq tsomas
Rctainingva'1i equiraments, ii any
Cctober 2992 - t
0liilCl;t + ... , • , ? ? %i.'t??l_S Cv0?ncC_ .°SC7" ??
_zZ $IIC? AUbIIE$$: . .
/
CoIirnncTOn: onrE : _-rnonE: ,g?-<, - s'_'.j?7,
UETEnHInE• uanr,inn so,unnE FootncE or Encil? , , . : , ; •..
i. iornl. ExPosEU wnLL nuEn,,,,,,,, sq ft x"U"
2. lOTAI ItOOF/CEIIIIIC AflCl1,,,,,,.,'` Sq ft x"U"
3. 7ornl ExrosKU ,1rnLL nnen enlculnrlonst
. ? .
. ' ?
e,?f' C? C.)
Total exposed wall , ?y/ . ' • '? ;'?..'.:•.
' oren above Floor........ sq ft
a) Total 4ra11 window areat
sq ft x IOUn
b) 'sq
1'ota) cloor arca ft x „U"'
.........
c) i.? . , ,•?
• Total s11Jln{1 qless?door 'areal' ,
,,:. ,
' •
.
. . ..? . '• ? •
. • ' .
•
,?
glazed.:.... 4"? U sq ft x "Un 7"
?
qlezeJ.'..... Sq. Ft x ?,U,, . d .
J) Total flrcplece wal) erea •• ?
sq ft x "U" d ?
_
c} Total taall (roining area
(AVCI'i1gC 107) ...... 0 Sq ft X IlUrl i /1?n
l
' f) Total net uali area above ?
riool- (il,suiacea)....... _Au7 Sn rc x 'su,t °
g? Total rlm )olst.arca......_ sq (t x "U'! O(/? °
f
Total foundat_lon ?
arca (Exposed),,.,,,,,, sq .ft
h) Total founJatlon
wlndorr area ............ . . sq ft x "Un „
glozed,,,,,,
sq ft x "U"
v
I) Total net foun(latlon' , ' 0' . . ". '
arca a6ove,qrade% ....... sq Ft x "U" GR cc,
TOTAL a) thru I) e'?"
?
If'Item p3 Is tl,c samc as,• or less tlian Itr.m 01, you liavc met tl,c intent of
S.R.C. Sectlon 6006 (c) 2.
.r1.i.IL11??? LALWLA I IOil Ji ' .
'7otti1 r.xpo5cd ' .??` '• . '
, roof c I
/ c Il?iq area...?.?.?_????7 sq
ft . . • :s
'...
,
j) . Total skyllaht. area.'...... (' sq (t x "U" ..
k) Tota) roof/cclllnq framin,ry • ? ? • ????j/?(j'. •'
. area (Avaraae 1,)......
• -F(-d??_.Sp
ft x
tlVrt
•.
•'.
'
I)
7ota) net Insulated .
.
.
?
, Yoof/celllnq area......
sq
(t x
"U"
e
- . p??.
•?,. '
..p`l??C
??
. , . '. .
TDTAL
1) tl,ru 1) ?
J „t • ,
total'
?.C. Se of Nh is the same as, or less thnn 02
ction 606 (c) . ytlu
have
met
the Intent oF
.? `.?•
,
' , , .. .
. ? .? . •?
? , . . , • ?. ' '
• 's:?''•
'r•"j'
'
.. ??? .. -•;•
• :•t:!;'a...?...• .
'
:
?
. . . . • .. , , ,
, , ?
, .
? ' ? ? , • . • ' • . . . . . , ,
. ALTEIUInTC OUILbIHr EIIVEIOPE bCSIGII . . ,
o utlllze the toto) envcloryc system melhod,_the vnlUes,establlsherl by the sum '
f Itcrns 113 nnd N11 sl,'ll no[ be greatcr tht?n the sum ol' Items /'I anJ P2.
+
3 • + l? , ? ?/ , e ?.
• • . • . , . „ •
:i • . .
, , i , . . ' . .
' t? .. , .
r.nrtnn ' . I hereby certlfy'thnt I have calcvluted the "U" factors anJ "R"
alues hereln tuid tl,at the irultdinq here descrihed meets or exceeds the State
f Hlnnesota Encrpy f.onscrvatlon'Act.
' • , r ? Irynaturm .
?s. `. .
???F •
ti.w
?
v
VENTED
CON:. f RULT I ON •?•; '??r
[EILING SECT,IDN (INSULATED):
. 1 -1nte'r'lor alr film ft.F,l
Z. -Tfp
3 ?.
4 Elor a r fllm stllll O7FI
TOTAL R - j?IZQ
U? R
?
CEILING FRAMING SECTION:
13 r,
5
CEILt!!r :Ef,TtOtl (IIISULATED):
1 Intertor eir film
z
3
4 fxterio.r iir Ilm sti 1 0. 1
? TOTAL R -
U- 1/R•
CEILINr, FRA111Nr, SECTI0N: •
1 Interior eir film O.Fi
s
3
4 F.xterlor air film stlll n, 1
5 Inches soft wood
TOTAL R ?
U= 1/R-
i
2
3
4
S
n
Insidc at,• n.F1
Outslde nlr fit,. n.17
-- TQTAI R °
U = 1/R - -•O"22-
IISTRUCT I ON
AMING SECTION:
WALL SECTION (IIISULATEO)
--{1 InterTor elr film
ST SECTIDI7:
ION SECTION:
a vnLuE 'r
U - 1/R - .Y>9J
TOTAL R
u- 1/a
U - 1/R
Interior air ftlm r1.F$
/? i/ C'0.7C. 04A
Exter or air fi n.17
TQTAL R - /0,/
u - 1/R - ,09,P
SLAR ON GRADE
?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
COND05 WHEN PERMITS ARE REQUIRED FOR EACN UNTI'.
NO. FIRTURES
l SHOWER
_3 WATER CLOSET
i BATH TUB
LAVATORY
i KITCHEN SINK
LAUNDRY TR.AY
HOT TUB/SPA
? WATER HEATER
i FLOOR DRAIN
? GAS PIPING OUTLET • mtntmum -
ROUGH OPENINGS
WATER SOFTENER
PRTVATE DISP. • Dak.Cry. lic.
U.G. SPRINKLER • home under oonsi.
ALTERATIONS •tnausiing
WATER TURN AROUND
STATESURCHARGE
TOTAL:
EACH TOTAL
3.00
3
3.00 a -
3.00 "3 -
3.00
3.00 3 ?
3.00 3-
3.00
3.00 ?-
3.00 3--
-
3.00 ?
1.50
5.00
20.00
3.00
20.00
20.00
.50
3q.5-%
SITE ADDRESS: L110 6
OWNER NAME: kAO r.? Q•? C? nI^
INSTALLER:
ADDRESS: L 1 ? Cp_«ic L-
CITY: STATE: W1 - ZIP CODE: S S_3 S?
PHONE #: (
WJ2-?i4 i
? ? ?'?
SIGNATURE OF PERMITTEE
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON AJC
aDD-ON FURNACE
FIREPLACE INSERT
DATE 0 - 3 ` '?Ta
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM i@$3.00 EACH) ? ? OC)
ADD-ON/REMODEL (ExISTiNG CoNSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL ? SITE ADDRESS:
OWNER NAME:?
INSTALLER:?
AT]nRF.SS- P, ?
CITY: 4M \ Y? OL STATE: Cl
TELEPHONE #: _,?I,on-(c,o ?? -a_
TELEPHONE #: Efts--S-
ZIP CODE: S-
1994 MECHANICAL PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
I
For Office Use City of Eap
Permit
Permit Fee: t 1
3830 Pilot Knob Road
Eagan MN 55122 Date Received: ~
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: U116 T i Site Address: Tenant: r ` tL C.Q. _ /r ~1 1'e_J Suite
RESIDENT / OWNER Name: M/4 Phone: t 7 " ('k3
Address I City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
cx
Construction Cost: Multi-Family Building: (Yes / No Y-)
CONTRACTOR Name: J/bL-S p G&C License cy (0,3 Q(, 3 7
Address: /12f7/ 5-y ~•A
City: State:
Zip: SS Oy
012
Phone: l® / _ ?7S-C37/ Contact Person: 2'2 SL-0 44-cexf
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(1~ 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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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 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 p1 s.
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Applicants Printed Name Appl' is Si ure
Page 1 of 3
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, I For Office Use �
. � � Permit#: t�,.J ��J �
��� �� �� �� ' �
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� Permit Fee: _. �
3830 Pilot Knob Road i ��-� t
Eagan MN 55122 ����..,.��,{�: � Date Received: �
Phone: (651) 675-5675 ���'F� �.�"� � �
I Staff:YXJ �
Fax: (651}675-5694 s�h� 1 i� ����J �-------------------_.
2014 I�E�IDEIV�IAL-PLUME3ING PEFZMIT �4PPLIC,�TIO(V
Date:� � Site Address. `� � v � ��'C,�1.�L��--��' " ��
Tenant: �1�l� � � �� � Suite#:
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` � :: Name: �'1�1�� �'�.����`C�.J Phone:, �� �— �i�71�— � 7 � .
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` ' '� Name: "1'� License#: ���7 �
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� Address: � '� City: ��b���-1 —
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� Contact:� 1`�1�1 �['��+��/� _ .,
, Email �.�.�/`!C, �s��, �':
�: ���,���,�fi� ��.,.�,�4.�.T �,.. .:_ .. .,��„�_ , . __�... � �.
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�New Replacement _Repair Rebuiid Modify Space v Work in R.O.W �;
� �"����f'�C��` ` — -- / �A
� Description ofwork: �Ny��� � � �71 ��v��,w������� �N
'1 f a t �L..I�
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3 5tt� � �;�;°=«= RESIDEIVTIAL "
�.
� � �,
�� ., Water Heater ��
� � � �Water Softener ,
y Lawrt Irr�gation(_RPz f_PV8) � �.
� _(�-�:1`�;���'�� Add Plumbing Fixtures(_MainJ^Lower Level) ;
� � ' > '� Septic System ;;
� New � Water Turnaround i:
�F r — � � � � . 7
� Abandonment
� .� �_,:�-�+,��.�=�.Y,���R.m,s.,��.�--.�, ..�,.-.,,�-.,�._.-�..�.�,�.,.,,:.,..T,.-,,...,m�.-�-,-m,�. .�.-�-.,-,m,�,. ... ...,,a� .-�..�„�_.-,,,�...�.,. ,—m.,,-.�,. ...-T-r-�,-�.�.-�,.._ ..-�., .-.-_- . i
�;�,a,r,..F 3.. . .. .--,—�- .
� RESIDENTIAL FEES: �
� $60.001Nater Heater, Water Softener, or Water Heater and Softener(includes$5.00 state Surcharge) �;
�;.
� $60.U0 Lawn Irrig�tion(inciudes$�:00 minirriu�n State Surcharge) �
� $60.00 Add Plumbing Fixtures,Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) �;
� "'Water Tumaround(add$200.00 if a 5/8"meter is required) �;
� �115.00 Septic SYstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) � ��
TOTAL.FEES$
� �,,,���,�T��_�����..�.�.�. .�..���..��,__-�..�._-�.��, ...�-��,�,,:�. ��-�.
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utifity damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. Www pophefSt�teotieCd11.01'q
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 statt 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.
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150065
Date Issued:06/19/2018
Permit Category:ePermit
Site Address: 4706 Bristol Blvd
Lot:016 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Aeysha Nur
4706 Bristol Blvd
Eagan MN 55123
(651) 239-8745
Heating & Cooling Consultants Llc
46001 Hardeggers Ln
Cleveland MN 56017
(952) 461-5100
Applicant/Permitee: Signature Issued By: Signature
For Office Use
a : rC3 ��
�
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Rr2:0:4: :::: E AG A N
Date Received:
3$30 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginsoectionsacitvofeagan.corn L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
1 Name: /- Y,c liQ N (iv{ Phone: ,<.... --/ 7 e 7c,i3--
Resident! 1-1 706' 0 3 r,S F
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Owner Address/City/Zip: / d )
Applicant is: A Owner Contractor
1 a
Type of Work Description of work: P(a C( 1,t� cc(d i C� G (i( c Ro-o-- l
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Construction Cost: Multi-Family Building: (Yes /No )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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?
1 Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
-i Fire Suppression 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 ublic if ;.u •rovide s•ecific reasons that would .ermit the Cit to conclude that the' are trade secrets.
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You may subscribe to receive an electronic notification from the Cityproposed
of ordinances by signing
upfor an email update
website at ww.citvofeagan.com/subscribe. to on the City's
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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.
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.orq
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 pproved plan in the case of work which requires a review and approval o plans.
X /J `� /V 1/�`), X
Applicant's Printed Name Applicant's Signature
Sep 1418, 10:14a Franek 5077444855 p.1
‘ , !• i r For Office Use /
' I IU
• •� �• �, Permit#:
E AGA• N
..„. Permit Fee: . C/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-56751 TOD:(651)454.8535 I FAX: (651)675-5694
Email:buildinginspections@cityofeagan_com LStafF
Commercial Plan Submittal:eoIans( cityofeaaan.com
J
2018 MECHANICAL PERMIT APPLICATION
III Please submit two{2)sets of paper plans with all commercial applications as well as an electronic set of the
submittal,submitted via email,CD or flash drive
Date: -\4 ` lei Site Address: ' 1 L £ LC
Tenant: Suite#: i'
Resident/Owner J Name:jr..T:CICCIAC_____________Phone: (�1�- 14141 - 344 I
Address/City/Zip: +n YO 117.)(16-C1Pic) &I..,0 C=i
.2irtr
Name: i 1 '. _I!',l� j�ri -ns-#: L. ' 4& Iki ► ' [l- -
Contractor Address: 1tL �N ;,f ' ' City: %f!a GA A. '_ M . i, v
State:\-\\ Zip: r' (0 Phone: 1 (4"4 � )' 0
IN
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Contact: Email: i.:3fstit- r. %1►1 1.r
New Replacement Additi I ter�atioonn 'emolition
Type of Work Description of work: "Pi* ' [ j- )X 1 , :,C f
NOTE:Roof mounted andround mounted mechanical chamcal equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction _Interior Improvement
Air Conditioner Install Piping Processed
Permit Type — p g —
_Air Exchanger Gas Exterior HVAC Unit I
Heat Pump :�_Under/Above ground Tank L Install/_Remove)
�
Other y
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
Contract Value$ x.01
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ Surcharge
lithe project valuation is over$1 million,please call for Surcharge =S TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comisubscribe.
I hereby acknowledge that this information is complete and accurate:that the work will he in ennfnrnanro mitt,filo„ra:......,... .....c....a__ .,.- ..... _r
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173936
Date Issued:12/14/2021
Permit Category:ePermit
Site Address: 4706 Bristol Blvd
Lot:016 Block: 004 Addition: Weston Hills 2nd
PID:10-83751-04-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Aeysha Nur
4706 Bristol Blvd
Eagan MN 55123
Universal Windows Direct Twin Cities
150 88th St W #205
Bloomington MN 55420
(612) 866-2888
Applicant/Permitee: Signature Issued By: Signature