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4670 Bristol BlvdPERMIT TYPE: Permit Number: 897 aate Issued: ? SITE ADDRESS• ? s- i': vT tl } rd 1. V fb I PERMIT SUBTYPE: }5 I I tM1 TYPE OF 1NORK: f 1' #'4 A 11 . Permit No. Permit Hatcier Date Telephane # ELECTRIG PLUMBIhICa HVAC Inspeciion Uate Insp. Camments FOaTINGS FOUND FAAMING ROOFIIVG ROUC,H PLUMBING PLBG AIR TEST RQUGH HEATIMG GAS SVC TEST INSUL GYP BDARU RREPLACE FIREPLACE AIR TEST FiNAL PLBG FINAL HTG ORSAT TEST BLbG FINAL B5MT R.I. B$MT FINAL DECIC FTG DECK FiNAL f.?K -.,_- ". ' .? ?.?INSPECTION REC(]RI) SsTE ADDRESS: 8 1 trto PERMIT SUBTYPE: YPE: ;r: ?,±{? t f F t. e?? ?.? ty,,,? l tt E.:,?? ' .?. S;i'.1 I FA Permit No. Permit Holder Date Telephone # S/W PLUMBI(VG NVAC ELEC7 ELECTRIC Inspection Date Insp. Comments Footings I l Foundaiion Ffafttlttg Roofing Rough Plbg. /-s Rough Htg. 3 isul. Fireplace Final Htg. 7 '7 /0Y J Orsat Test Firral Plbg. Plbg, lnspector - NoYify Plumber Const. Meter Engr.lPlan Bldg. Final Deck Ftg. Deck Final Weil Pr. Disp. ,z- ?-ST -- ?, '7 1-6s 3f 17/'10 5'' :,?? , ,t 4 , CITY OF EAGAN 3830 Pilat Knob Road Eagan, Minnesota 55123 (612) 681-4675 ?...?:?._,,...?,..??.,,..-. . INSPECTIDN RECURD PERMIT TYPE: Permit Number: Date Issued: t??itt.r?ira?? 1r! I ? 1 ?' # «?1 SITE ADDRESS: 1,01 : ?j Ij I ci, ; a??.:•t? 10 t. kil.Vtl 1 i l .? f Uh! Ii l 1 t.':; PERMIT SUBTYPE: 3 APPLICANT: TYPE 4F WORK: rw1111 $ ! r iirq INSPECTION D, • DA j?,it I I???, . . i'iti;•! i?.li? I ? (JiS I -Itfl iifif:A(if t10 I l i_s 1-1011,?0 ? 11I14 Ut? t? 0?E1 IV':i1 R Ifi 6 ! U0 f,?; ? . 41I,I, , ; . odommil? Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I `Y1 I q L?b ? ? tu `?-? eh' e ve Foundation Framing Roofing Rough Plbg_ Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bidg. Fnal Deck Ftg. Deck Final Well Pr. Disp. wwrfljtCQ?? of cCC1ipQnC? IKit4 of eagatt Zc.panrtmettt of 1suiibing audoectiun This Certificate issued pursuant io the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in complicwstce with the various ordinarrces of 1he City rrguiating building corestruction or use. Fur t}ee following Use Ctassification: SF UC B1dg. Permit No. 22884 Occupancy Type R31"t) Zoning Distria Ri Type Const. VDT OwoerofBuiWinB JUM RY ('HM Address 95(Xl W f."fY Rn !}'L, $'XM73+. Building Addrtss 4 67O MTSM, N ?VD L.acaliry L(2. TRI, L71?_cMN f1TTIS ? ? ? -' -'- Gatc: j !• ? s ? ! 6ui ' 016E' . POST IN A CONSPICUOUS PLACE Address, _• 467n nuTMn rzr vn Zip 55123 L:ot' ? 6 Blk 3 Sub THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF TT-IE FkNAL?INSPECTION. Date: Yes No Inspect : Final grade (6" from siding) Permanent steps (garage) X. Permanent steps (main entry) ? Permanent driveway ? Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verffy with the builder the remova( of roof test caps from the plumbing system and Ihe shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in righbof-way or installing undergmund sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contracror Copy ? g l o03 2007 RESIDENTIAI. SUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CoreWCfion Reou'vemen5 3 regatered si[e wrveis shrnmg sq- fL of lot, sq. ft of house; and aN roofed areas (20%maximum lot coveraqe allowed) 1 SoJs Report if proposed bwlding is fo be phced on disNrbed soil 2 copies of plan shavnng beam 8 windovr sizes; poured found design, etc. 1 sel of Energy CalcuWbans 3 mpies of Tree Preservafim Plan Glot platted after 711193 Pom Jdst OeWil Opfions sHectlon sheet (buildligs with 3 or less unils) %737-76_?' RemodeVReua'v Reauirements OKce Use OnN 2 apies M pan shavring footings, beams, jokls Cert of Survey Recd _Y _ N i set of Energy Calculations far heated additions So,ils Report _ Y_ N 1 site survey for additians d decks Tree Pres Plan ReW _Y _ N. Ad6fion • indicate if oo-sife sepAC system Tree Pres Required _Y N On=siteSep6c5ystem _Y _N MmnegascamechaniWven6latlonfoim e Q,6&d //?q _ .... ..... ........:.?.....a ....tii;.. ii.,iocc vnii ?tate thev are frade secret and th reason. ria?w a?c wuawcIcu ....u...........n........,......._ -- --'- --- __ _ _ . uctionCost t 3 ? C Date ( L r r ons c iUSt # U Site Address h(,, 7 c 6 V rL 5 e n c ? 5 [ 3 Description of Work ?Ao "? 41,4 ' Multi-Family Bldg _ Y ? N Fireplace(s) X 0 4 _ 1 _ Z ???d0? ) ? Telephone#(tp5 YropertyOwner Contractor bVtU t C\ ? ?-?, w2 CC? CD/i 57- n i d?7 ,l A- U-Q City Address St t c L Zip s_56Y- 14 Telephone #(9--oy a e <--e ?02 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . ResidenGal Ventila6on Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calwlatians Submilled In ihe last 12 months, has the City of Eagan issued a permit for a similar pian based on a Master plan2 %. •• ? _ Y _ N If yes, date and address of master plan: Licensed Plvmber Mechanical Contractor Sewer/Water Contractor apply, for a Telephone #( Telephone #( Telephone # ( Permit,and, acknowledge that the information is complete and accurat e; that the work will be.in conformance with fhe ordinances and codes oi tne Liry of Eagan ana Unc oLai?o v, ?..N Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved ?n?n the case of work which requires a review and approval of plans. I 1 ?n ag 12? ? Applicant's Printed Name Applic t's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? Ot Foundation id 02 SF Dwelling ? 03 Ot of_plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvaes ? 37 New ? 32 Addition )p 33 Aiteration ? 34 Replacement ? 07 OS-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 17 10-plex ? 12 12-plex ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch(3-sea.) ? 31 ExLAIt-Mulli ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. . ? 24 Storm Damage ? 25 Miscellaneous O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 'Demalkion (EnUre Bldg) - Give PCA handout to applicant D@SCflptlOtl: WaterDamage_Yes Valuation OD0 Occupancy TJZ C ? MCES System Plan Review _ 100% or _ 25% ' Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof _ Ice & Water _ Final ? Framing Fireplace _ R.I. _ Air Test _ Final _10 Insulation ff (nl Approved REQUIREDINSPECTIONS _ Sheeuock FinaVC.O. ? Fina]/No C.O. ? HVAC Other _ Pool Ftgs Air/Gas Tesu Final Siding _ Stucco Lath _ Stone Lath _Brick 10 Windows _ Retaining Wall Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total p f?/4 7e tt/5 -- kn wer, lede / - FAI,,,:1 r [W'O?^ ?j, 800.00 3,a°O •a''a il?/ Da to . oQ PERMIT 23o ToOF EAGAN Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 030779 09/12/97 SITE ADDRESS: 4670 BRI3TOL BLVD LOT: 6 BLOCK: 3 WES70N HILLS P.I.N.: 10-$3750-060-09 DESCRIPTION: u1.104noi Census Ga s r ; ` g C Y. +?F_',? l 4Y ?t er?mit Type DECK TYPB NEW 434 A'LT. RESIDENTIAL fo: REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee ? ? $50.00 $.50 $50.50 CONTRACTOR: OWNER: - Applicant - IHLE CHRIS 4670 BRISTOL 6LVD EAGAN MN (612)476-6111 jy}?iS ?$' ?y h £q PSI ?. infn rr?atzan is oarrec ?nd?a ?.??.? P?tINi qp b ?A ?n w i?°t` ? f,H .wi ? ?l?E : ?" p •- (`. e 3 ?1P?`,?.YI?'?#"? -i?'t 1 e ? _,, APPLICANT/PERMITEE SIGNAT , ISSLIED BY: SIGNATURE 1997 ?/ BUILDING PERMIT APPLICATION (RESIDENTIAL) S - ? CITY OF EAGAN e? 3830 PILOT KNOB RU - 55122 681-4B75 New Construction Reauirements RemodeVReoair Reauirements lo ? 3 registeretl sRe surveys . ? 2 wpies W plan • 2 copies ot Olans (indude beam 8 window sizes; poured fid. design; eta.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy pkulations Mr heated additions ? 3 eopies of tree preservation plan 'rf lot platted after 7/1/93 required: _ Yes? No A DATE: '1 To CONSTRUCTION COST: -? DESCRIPTION OF WORK: STREET ADDRESS: ? LOT BLOCK PROPERTY OWNER CONTRACTOR 7P Vo -7 5 SUBD./P.I.D. Street Name: q-, b Phone #: City: ?'kamN State:Zip: Company: Phone #: Street Address: State: ARCHITECT/ Company: ENGINEER License Zip: Phone #: Name: Registration #: Street Address: City: State: Zip: Sewer & water licer.r?ed plumber (new construction only): . Penalty applies when address change and lot change are,equested once permit is issued. I hereby acknowledge that I have read this application and state that the informatioryjs,¢oV ect anpfTg e comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / ?/? / Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY r ? SUILDING PERMIT TYPE ? ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex X 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning Basement sq. ft. Main levei sq. ft. sq. ft. sq. ft. sq.ft. sq. ft. Footprint sq. ft. Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance ? ? / -? Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies 6?1v- Engineering Valuation: $ Y 3 _- ,y/A . jR'8 LERT1?1Al?ATS .??4I98 BY CHASL ? ??- ?4) V? TO? e?0e?eoa C? .? v s r ?--__- _-- - J, I ? - - - W 4 ?I N O ? h 11 ? ? f ? R C 14? ??i.z CV •`? i.i m ^ ? p?•d (94t,o) I O I' i'1 ( ?° W t I Q a 1 v, r- C942.o ? I sL o ? o `- 0700 B goe Aa'JD'yV -• / ?L9v::A1?d 6I y? o y h ? + a Z ? <71& 2 l.7 7"?L~??-WAW- NOTH ? IVO'JPECIFIC 901L3 iNV88Yl0AT10N HA6 BEEN OQMPL6T60 . UN TMi3 LOT BY JAME9 R. HILL, INC, THE 6VITA91lITY OP 50IL9 1'ti BUPPORT THE "CIFIC MOUBE Pfi0P009018 NoT THE R6SPON81 BILITY OF JAMES R. HI1.1-, INC, - DEN07E5 pROPOSED 3URFACE DRAINAQE o bEN07E3 IF10N NIdNUMENT SET 0 OENOTES IRON MONUMENT FOUND XOOb.O DENOTES EXISTINO ELEVATION (OUO.U) DENOTES PROPOSED ELEVA710N N076t 9Ult,DINO pIMEN810Nm 9HOWN ARB tVh HoRIYONTaL d VERTICAL LOCA710N OF 87RUCTUR6 ONLY. S6E AAqiITECTUAL HANS fOR BUILbIND Bi FOUNDATION DIMEN910N9. 9CALE: t INCH -? .4O FEET PROPOSEO QARApE FtOOR - `jqt,.y FEET PROP03EP LOWE3T FL04R - y3q.y FEET PRdPOSED TOP OF 9LOCK - 1742,p FEET WE HEREBY CERTIFY TO MO " Y THAT THIS I5 A TRUE AND CORREC7 REP4tESE1V1'AT40N OF A$URV?Y ? 7N?11Z`i FES OF: Lbt 8, Dloak s1 ?tON H1tA;H0 and rs th4 nosrdsd plot thareaf, Dahm, R30ultt'I, MIMwtiIlli. IT bOLS NOT PURPOF9T TO 8HOW 1MPROVEM@NTS OR ENCROACMMENT,B, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT 3UPERVISION THIS 2!ff?-WIDAY OF.-7',N.?/uea.eq , 79 9y1 / SICINED; JAM . HILL, INC. ?a Va? $PA?RA ERt . IAN PROSE ENO?INE R?IN?G 00. Rao 9Y 6Y: ------ QA0Y A. i1AF1A fB, IAND $URV&YOR M(K1f+1NgWA LICiOtJSB NUM138R 10943 o HiIl in James R FF ? ? ? . , l...• ENGlNEERS / SURVEYORS P ER N LA N S m 2600 W. CTY. RD. 42 o BURNSVILLE, MN, 66337 0 812-880-6044 fl ? , , PERMIT C? ?q ?,? CITY t?F'EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D i N G Eagan, Minnesota 55123 Permit Number: 022980 (612) 681-4675 Date Issued: 0 7 J 12 / 9 4 SITE ADDRESS: 4670 BRISTOL 8LV0 IOT: 6 BLOCK: 3 WESTON HIILS P.I.N.: 10-83750-060-03 T??d:31??C?]`?E uildin'_Permit Type GARAGE/ACCESSORY uz,iding Wk Type ADDI7IpN cntV W eagan REMARKS: ADDITION OF 9R0 GARAGE STALL TO HOUSE UNDER CONSTRUCTION FEE SUMMARY VALUA7ION $5.000 Base Fee $72.00 Surcharge $2.50 Total Fee $74.50 CONTRACTOR: - Applicant - s-r. Lxc. OWNER: HOMES BY CHASE 18955337 0001619 HOMES BY CHASE 2500 W COUNTY ROAD 42 260 2500 W COUNTY ROAD 42 260 BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 895-5337 (612)895-5337 I hereby acknowledge that I have read this application and state that the i infiarmatSon is,oorrect and,agree to oampTy, with all.ioppY1oable:State of:.Mn. i Statutes and City of Eagan Ordinances. ? ? - - -- - - -- --- ...___ - ----- ---- `- -- - . . APPLICAM/PERMITEE SIGNATURE t ava I °rli.tf ISSUED BY: IGNA RJt? ? z itqvo CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ?74?0 crx SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIpL 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 Yaluation of work Site Address: V?Z STREET SU[7E N Tenant Name: (commercial only) LOT BIACIC ? SUBD. P.I.D. # Descri tion of work: 3. J` G1 The applicant is: ? Ow er ? Contractar ? Other (Destribe) Name ` Phone Property LAST FIRST o?(??t P Owner ? Address ZSOO UJ C00?4-y 260 STREET STE # City V?vrns r?i /lP state Zip 5 S33 2 Company i _ Phone Co ntractor Address License # Exp. ----- ? -__ City State Zip Company Phone Architect/ Engineer Name Registration q 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 wit, 1 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of A"1 icant: ??' ? OFFICE USE ONLY .?- BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory ? 18 Comm./Ind. O 04 SF Porch ? 09 12-Plex ? 14 Fireptace ? 19 Comm./Ind. Misc. ? 05 Sf Misc. ? 10 Multi. Add'1. O 15 Deck 0 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New 0 33 Alterations ? 35 Tenant Finish ? 37 Demolish ,E 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actuat) Basement sq. ft. MWCC System (Allowabie) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code 3 Depth On-site sewage SAC Code e U i APPROVALS ensus t a Planning Building Assessments Engineering Variance REGIUIRED ITISPECTIONS ? .Site ? Wallboard ? Footing ks7 Final M Framing O Draintile ? Insulation 0 Fireplace Permit Fee Surcharge Plan Review License MMiCC SpC City SAC Water Conn. Water Meter Acct. Deposit S/Y Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other Total: v.iuilcton: s S Ooo J22 y SAC % SAC Units BUIRVEYOR'S CERTIVICA"1'IE HoMEs BY c?ASE r, ,? ,- ?o .• 070o wao•,?-A." W EAMt?HRT?PLA? IS 60 ,V 0 ? a Z47 6 C44Z.0) /, a 6p ?1PH EL?BV?.1?F/.dS IlT ? ?' ? ?I yg ? I ? p?•? 194z,o) ? ?3 ? ?£v N 1942.0) ` g L ` . . !? I *xQG 0 /s* "OJD?IV • 'I NOT! t NO 3PECIPIC SOIL9 INVHBTIAATION MA6 BE6N O4MPI.BT80 UN TMI3 LOT BY JAME9 R. MILI, 1NC, TME 6UITA9fLITY OP 90I18 To BUPPORT THE 8PECIPIC HOUBE PROP0S2018 Nor THE R68PON81 BILI TY OR JAMEB R, HILL, INC, +-- DENOTES pROPOSED 3URFACE DRAINAOE o DENOTES IRON MONUMENT 8ET 0 DENOTES IRON MONUMENT FOUND i Xp00.0 DENOTES EXISTINO ELEVATION (000.0) DENOTES PROPOSED EIEVATION . , NOT6t 9uq,DIN6 DIMENVONS BHWYN AR6 PoR HvRIL'ONTnL 0 VERTICAL LOCATION qF STRUGTUR6 ONLY, SHE AApi1TE4TUAL f'LANS fOR BUiLWNO IN FOUNDATION oIM¢NSroNS. SCALE; 1 INCH -- J*D FEET PROPflSED QARAflE FLOOR - 741,7 FEET PROPOSED LOWEST FLODR - ySq.6 FEET PROPOSED TOP OF 6LOCK - yq2.0 FEET WE HEREDY C@RTIFY TO MA?yy Y THAT THIS IS A TRUE AND CORREC7 RfiPpE3ENtATION OF A SUKIV?Y ('j'?''TN?'9d ? lbs OF: Lbi !, 8109k3s VFB3TDN N1L't8i iee !o th4 rsonrdsd plot trisreof, ?A?1? OsYMt'lr tifl111?w'O?M? IT 00E6 NOT PURPORT TO 8NOW'IMPROVEMENT& OR ENCFIOACHMENT,8, EXCEPT AS SHdWN. AS SURVEYED BY ME OR UNDER MY DIRECT BUPERVISION THIS 2-mFr.-vIDAY OF,9I.?2enltq , 19 ?y? / , SIONED; JAM . HILL, INC. q s ?191 TfMR OR?Wp1AN RO E?Efd?b?b NEHRINB co. R?D BY BY: --.- t3VAYq.NAPlR ,IJWD$URVEYOR MIIqh1W1TA U02N9B NUMgBN 10943 ? Z ? o M S1 +? D ? James R. HilI, inc., a o 6 14 PLANNERS / ENGINEERS / SURVEYORS 2800 W. CTY. RD. 42 0 6URNSVILLE, MN. 66337 0 e12-8908044 i/ . - _cai-_ - .. --'N,CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-E33750-050-413 DESCRIPTION: PERMIT 4670 BRISTl7L BLVD LOTo 6 BLOCK: 3 WESTDN HSLL5 PERMIT TYPE: Permit Number: Date Issued: Bld3ri_ , Permit Type 5F DWG uilding rk Type NEW BC qccupat, Gy? R-3 M-1 C•ons°Cr^uct?t?li T e V-IV Zoning R-1 Build*ng LengT„h ix 48 rrg 1410th s 50 By,iY;tli? .stories 2 ' ? •,.. gaa.0.eem a ? ?mr1 REMARKS: PRV FEE SUMMARY: S & W PLBR - Base Fee Plan F2eview Surcharge SAC SAC % SAC Units Subtotal VAL.UATION $674.50 $438. 43 $55.00 $800.@0 100 $1,967.93 suzLD 022884 Qr2/14/94 MISCEILANtQUS $1,828.50 Total Fee $3,796.43 CONTRACTOR: - Applicant - sT. LzC. OWNER: HOMES BY CI-IASE 18955337 0001619 HOMES BY CHflSE 2500 W COUNTY ROflD 42 260 2500 W COUNTY ROAD 42 BURIVSVILLE MN 55337 BURNSVILLE hIN 55337 (612) 895-5337 (612)895-6337 260 I hereby acknowjed4e. that $ haVt read.,thl3 inTor^mati.on is correet ancf agree to comply 5tatutes and City ofi Eagan Ordinances. , APPLICANT/PEHMITEE SIGNATURE i dp(5?.,3,C8tkiYtt 6 t?a'tx3? ",th;q? wi?CtF a13 app{L'ac?bl?:Sea?? r[S SUED B . 516 OT?Er? . ? -; CITY OF EAGAN ti ? 1994 BUILDING PERMIT APPLICATION 681-4675 -$3, q q c,.?3 (,? ?I J 1-?yl SINGLE & MULTI-FAMILY 2 sets 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 4V41 Valuation of work D Site Address: ??7/I /??icfsaL /,? STREET SUITE N Tenant Name: (commercial only) LOT O SLOCK ? SIIBD. P.I.D. tl Descri tion of work: The applicant is: sff_Ow er Contractor ? Other (Deseribe) ? Name o Phone 1r.S • S33? Property LasT FIRST Owner Address pPI;-D o 61?v -- STREET STE k City " 1/9 /0i/l State 205, - Zip <q?a ??7 Company Phone Contractor Address License Exp. City State Zip Phone Company Architect/ ? Engineer Name ? Rectistration # Address ' City - State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is twa days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is applicable State of Minnesota Statutes and City of correct and agree to comply with ? Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging p 02 SF Dwg. p 01 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 05 5F Misc. O 10 Multi. Add'1. ? 15 Deck WORK TYPE IM 31 New ? 33 Alterations ? 35 Tenant Fintsh ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION •, , ? ; ).' , ep ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Camm./Ind. Misc. O 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual ? ? Basement sq. ft. SZp MWCC System r?- (Allowable UBC Occupancy Ist F1. sq. ft. 2nd F1. sq. ft. I3 L/G City Water ?- PRY Required ? Zaning # of Stories R"1 2 Sq. Ft. total Footprint Sq. ft . _ Booster Pump fire Sprinkler Length ? On-site well Census Code ?p Depth 50.33 On-site sewage SAC Code ? APPROVALS Census Btdg _L Census Unit Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? .Site IM Footing 0 Framing 0 Insulation O Wallboard Ik] Final ? Draintile ? Fireplace Permit Fee yai,,,"a,. g p?ca Surcharge 3s? Plan Review zoxzG ? szoxi > G?r, License MWCC SAC _J--- -zzkzo,r/( = 70? City SAC Water Conn. IS? Water Meter ? Acct. Deposit zOkZb? SZo S/W S%W Surcharge zg' Treatment Pl. 3yy - Road Unit > - Park Ded. Traits Ded. bpper Co ies Ot?ier -+-`--- 2zx z8' ? 6/0 33z6y ? Total : -- --- SAC % SAC Units SuRvEYOR's cEaTIViCAT.2 KOME8 BY CHAW V 0 O 0 ? h `. ? C? o V ? ? ?y?r?=?L/?? .4y vI. ? ? ?O Ir O T17 ` 71 h? I ? i? ? ..- - ? .,. 0 O I 1 I C94?,e) j a i ' I iq _ ... ... Y? 1 I ??? f'o • 8740 B Me A8'.!O•N! - 1 ? w a ' ^? h O 0 ? ? \f ? > ?(5376> nvre 1 rov arecmw aJILa mvaenaAnon nAa eenn wmn.arav , ON TMiB LOT BY JAME9 R. HILL, iNC. THE 6UITA9ILITY OP 901LS Ta BUPPORT THE $PECIFIC NOUBE PROPOSED 18 Nor rHE REBPONBI BI t I TY OF JAMEB R. N i LL, INC, IQ - bEN07ES PROPOSED 3URFACE DRAINAOE O bENOTES IRON MONUMENT SET • DEIVOTE8 IRON MQNUMENT FOUhJD X000.0 DENOTES EXISTINQ ELEVATION (OOO.U) DENpTES PROPOSED ELEVA710N NOT6f 9UA,p1N6 OIMEMBlOHS BttOWN ARB fOH NORIxUNTAL d VERTiCAL LOCATION 01" 87RUCTUR6 ONLY. SEE AWpiITEGTVAL PIr4N8 F!OR 9UILbIN6 EI FOUNOA710N oiMLrNsroNa. 3CALF: t INCH - J*D FEET PROPOSED QARA4E FIQOR - rjq2, ?S PEET PROPOSED LOWEST FtOOR - y-M.E, FEE7 PROPOSED TOP OF BLdCK- y42,-7 FEE'f WE HEREBY CF-RTIRY TO NO Y THAT THIS I5 A TRUE AIdD CORRECT REPRE3ENtATiON OF A SUCiVHV OF: Lot do 9lUOk' 3? iMRBTON H11it6? ?? t? th4 floDrtlaA p14it tMS?eet? ?r . aer9Ml11', Mfla1+6?lIe1?. IT DOLS NOT PUi4P014T TQ 8410W'IMPROVEMENT8 OR ENCROACHMEIVTS, EXCEPT AS SHdWht. AS SURVEYED BY ME OR UNOER MY OIRECT SUPERVISION THIS Zf-fW.-WDAY OF.-?iY.?ur.?q , 19 9¢t / SiOiJEb; JAM . HILL, iNC. 7N? b?F N p?l,RAN Wg 61?,1ON H?1.1.8 R8D 9v 6Y; PRO E roolfdEBRINe Co. ?,?#Y p,}?q 013 ,(,q??D?URVEYOR Mllqfq?'A' L?(f?i+113t NUAABI6fA 10943 2 :D ? o 1o ?? o? James R. Mil I, inc, 0 ?' 6 ?' ? ? e 1 ? PLANNERS / ENGINEERS / SURVEYORS ? V m 2800 W. CTY. RP. 42 9 BURNSVILLE, MN. 66337 * e12•890-6044 t ? '. • IAT iIIRVEY C8LC1CLI8T TOR 7tt6IDZNTI]IL ? svzLDime pROPERTY LtG7?Ls - . . aat• of furvy: DOCIIMENT 6TaNDA4DB 0 0 . ?qistered I,sad Surveyor aignature ar?d eompany Suilding Permit 1?pplicant ' D-0 L ?,,,. • Leqal dascription 6? ?" 0 • 11ddress V0 0 • North arzow ana bar scala • ?0 0 • Houae type (ramblar, valkout, split .v/o, split sntry, lookout, etc.) ? 0 0 • Directional drainaqe arraws with siope/qradient i. V D D • Proposed/axisting sever and water sesvicss ??D 0 • Street aame O 0 • Drivewny L'LEVf1TIOliB Existino D 0,"'b • Sewer service r 0 0 • Lot cozners 0-Ao • Top of curb at the driveway 13? O • Elevations of any existing adjaeent homes preposeQ D 0 G • Gnrage lloor G 0 • First floor 0 D • Lowest axposed •levation (walkout/vindow) F"D D • Property corners D 0 • Front and zenr of bome at the toundation pQNDS1PG f?RE7?s fif ana23eib1ef D ? 0 - ?Le"ent line D ? 0 • awL D L?7?• Pond # desigrration D G ? • Emtrqeney Ovsztlow Elevation DIlSEIiBiO1QB 8' D 0 • Lot linas ? D 0 • Aiqht-of-xay and strset vidtA (to baek of curb) 0? D G • Proposed Aome dimensions including any propossa -decks, overhanqs qreater than 21, porehes, eLo. (i.e. all struetures sequiring permar+ent tootinqs) ?0 0 • Show all easements of record and any City utilities within / thoce easements D D 0 • 8etbacks of propoaed strueture and setback of adjacent existing !?omes D 0 • Retaining -Val)>_j*/irements, it any Oetober 1992 k , .f/ . . ..?, ?. Sllf: %1UUItESS: CUflTIlACT011: DAiE' r11011Et 9??ivr31rJ ' UEiERNIi1E•%1Olll;lflf SUUARE F001AfE OF EACI I, I . . IOTAI EXI'OSEb NAIL AItEA. , ..... sq !t x I,Ufl 1.. iornL ROOr/CEILIIIC ARCA......... ?11?? • sq ft x "U" " top?? ? 3. 1UTl1l EXPOSEb I1ALL AItEA CALCULAi'IOtIS i • ? , ? . • .. . T otal exposed wall ? . • ; ; ;' ' area above f laor........ ? sq f t ; { • , •• . ? :; r.; ?,".;?r?.`' . e) Total wall window areal •? • ' '? ??.glazed???.?. • f?? Sq rt x nUn * ?o, Jf? _ . rylazed...,.. sq ft x "U" a b) rj'ld isq 7ota1 door orca rt x "U', • ,•0;2 " .....,... _ ? c) • 7ota1 slldlnSi plass?door 'areal' . ? . . • • ? . . . . .?,. . . ' • . . sq f t x n11'.1 !iInzeJ.*....? sd, rt x i,u,, . .. d) Total ilreplace Woll erca •• ??9' sii ft x "U" e) Total wall froming area ? u (n?erage 109?) .......... ' 6t0? sn rc x ??U" ? y Y , . ' f) Total net wall urea above • floor (Insulated).,...... $q rt x "U" ?I) Total rim Joist.area....... sq Ft x "U'! Totol founJatlon ? arca (Exposed)....,,,,., sq .Ft , . h) 7otal founJatlon wlnJow area ............. sq ft x nU" ° I) Total net Covndation' '? ' ?` ' "' • ? nrca above.graJc%....,,.' O`O sq rt x "ull , ? 0 ' TOTAL a) tlirv I) e . . lf''t@m r3 ( 5 tltC 58mC 8S , OI' lQ45 th811 Itf!m ^l, yOV l1OVC mC< <hC (I1tCIIC Of • 5 1.I1.C. Sectlon (.00f, (c) z. , k.1.101nc cnLcuLniluns: . ? . ' ' . .. . , , 'lotal rxposeJ . ? . Sh (t ? ? . ., . lotal skyllght. area.'......_ Q sq ft x "U" i . k) •?it ?•• 7otal roof/cellinq framinn ;.? .. ?, ',.' ' // .'ItCa (AveYe,llC IO9,) ,,,,r,.. !V C X 'Url ?. _?rj+l7 ? ? •?. " ?. O lota) net Insvlaled , roof/celllnq area..,,,,,_ /0 s(I ft x "Ull j. ' ? , . • , 7oiAL J) tliru I) toLol? oF PIf Is the san,e as, or less thnn 02, ydu have met the Intent of ?' ??''• 9.C. Se ctlon 6606 (c) 1. • . . • ,; ? .? . . , • . ' • . . . . . . ' ' ? .:?.. ',.. . ? ??',? . .. , ., .. -•;• ? ? .•c•t••,..;?...• ?.• . . ? ? ' ..• • •. ? . ? ? • . . • ? 1 ? . • ? ' • • • ' ? ? • • ' Al.TE1l11ATE IIUiLblllf EIIVELOPE I)CSICII . • . n utiltzc thc total envelcpe system methocl, the vnlues,established by the sum.? I tri"S p3 tind Ph shall not be greatar thnn the sum of (tems /!I and 92. + 2. .. 3 • _ + 11. e t, e C EA T 1 r,I f, A T 1 b I hereby certlfy'that I have calculnted tl,e "II" factors onJ "R" ?7?1?C5 hercln s?nd that the hulldlnq here descrlbed mects or excceds the Statc of Nliineso[a Encrny f.onscrvatlon Act. ' . . -. ; . . , . . .. i ? qneture - e? ?r PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA114252 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 4670 Bristol Blvd Lot:006 Block: 003 Addition: Weston Hills PID:10-83750-03-060 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. Scott Follese 5182 West Broadway Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Mark T Gordon 4670 Bristol Blvd Eagan MN 55123 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118448 Date Issued:11/01/2013 Permit Category:ePermit Site Address: 4670 Bristol Blvd Lot:006 Block: 003 Addition: Weston Hills PID:10-83750-03-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Lisa Nyberg 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 - Mark T Gordon 4670 Bristol Blvd Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118849 Date Issued:11/08/2013 Permit Category:ePermit Site Address: 4670 Bristol Blvd Lot:006 Block: 003 Addition: Weston Hills PID:10-83750-03-060 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark T Gordon 4670 Bristol Blvd Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150234 Date Issued:06/26/2018 Permit Category:ePermit Site Address: 4670 Bristol Blvd Lot:006 Block: 003 Addition: Weston Hills PID:10-83750-03-060 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 - Mark T Gordon 4670 Bristol Blvd Eagan MN 55123 Wildwood Construction 4703 Bristol Blvd Eagan MN 55123 (612) 369-1422 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163680 Date Issued:09/09/2020 Permit Category:ePermit Site Address: 4670 Bristol Blvd Lot:006 Block: 003 Addition: Weston Hills PID:10-83750-03-060 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Mark T Gordon 4670 Bristol Blvd Eagan MN 55123 Johnson Plumbing & Heating 9825 170th St E Lakeville MN 55044 (612) 243-3965 Applicant/Permitee: Signature Issued By: Signature