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 ?
??-
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V?
TO?
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<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