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4655 Bristol BlvdCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4655 Bristol Blvd Lot: 25 Block: 1 Addition: Weston Hills PID:10- 83750- 250 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Pella Windows & Doors Turnkey Sales 15300 25th Ave N #100 Plymouth MN 55447 (763) 745 -1400 PERMIT City of Eaan Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: Jeremy P Schneider 4655 Bristol Blvd Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA088346 03/04/2009 ePermit ú þ ý þýý üû û ú ùýýüîøø ý ë ÷ ä ÿ þý÷ üûúùø ñôûùø ÷ôùø ÷öõôó öõò ø û ñ ûñ ððìûø ù ï üîû ô í øôë ô îûô ô ú ô êé ôööø ý éôéô ý ø êñ éôé ø é ô ê ñ ôú è ô ô ô îûô úù ö é ù ê í æääêäêðä öù üûô ô æê ê ç û ýê õô ÷óò øø ü ûñôûâ ô ùü ô ù ë û ðßôë ãóðþ ãó Ý Üð ô úù ö ë ô øø éô ôô ô øùö øø ú ü éã ü û ñùéþ ìô ê øø õ ô ü ûô û ùü ûô INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesbta 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: .?: ;?:.i •;,-? r_?? ??? ?t.?rd i PERMIT SUBTYPE: ,! .. f:ll! I f I] ): (???V 4a .i 13 i 4? } 'r r; 0 _ 4 It APPLICANT: BLOr,K:< . ? c •, ,... . ?;-l, TYPE OF WORK: ;i t ID4 (, I., ?1! ; y,. ) Pd A I. fs t? ? r ?•t iV; 4 i I Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inapection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING I ROUGH PLUMBING PLBG AIR TEST I ROUGH HEATING i GAS SVC TEST INSUL GYP BOARI] ? FIREPLACE FIREPIACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAI DECKrTG DECK FINAL ? . a? ?, /''?/X `-C1T1?? OF EAGAN 3830 Pilot Knob Road Eagan, Minnesata 55123 (612) BA1-4675 'E ADDRESS: ? ; ? . i,? tsl.t/U l l# ., !?tt?I ld 1! 1.;:, `? CF hJ'; ? TYPE OF TYPE. f!!1 ? l {i I I',? ber: ?. ?9 t3 l Ga ?. ,,% , ? F?- :!•; ?'? ? ? ?;i! 1! {?•I "s f ' , ?-- ? _ - -- , , , . . - - ? - ?` ??•,5` `r^ F ? L? ? - I Permit No. Permit Holder Date Telephone # SNV PLUMBING g,??9' Ij??l? rf 9 HVAC E L E C T R I ELECTRIC Inspection Date Insp. Comments Footings I LZ Foundation g?g y3 Framing 3? n Roofing Roug, ?11>g. Rough Htg. Cf' ? Isui. J / Fireplace Final Hc9. Orsat Test Final Plbg. PI6g. Inspector- Motity Plumber Const. Meter EngrJPlan Bldg. Final 2k-93 4/+ > Deck Ftg. Deck Final Well Pr_ Disp. . - - ?L71./?i' ??.ltJl.LtiT1?iJV?i _• INSPECTI4N RECURD CIT.Y OF EAGAN PERMIT TYPE: 3830 Filot Knob Road Permit Number: Ea an, Minnesota 55122-1897 g Date Issued: (612) 681-4675 ? SITE ADDRESS: APPLICANT: mr1iIlr,INJAl 0 I?I.` t 6 iNt i I,Jr`.y1?'?f+t ifI.1I"?? ;?.,k..•) ?.ri?t,tllQlfy ? PERMIT SUBTYPE: TYPE OF WaRK: 0; 1 ; ivt ta fr,0 1 ( 0,1 :.,: . I I I : {wtt Permlt No. Permit Halder Data Telephone # ELECTRIC PLUMBING HVAC Inspection oete lnsp. Comments FOOTINGS FOUND FRAMING ROQFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSRT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FIMAL --- i ? - I_ _ A?? ??-y s&r? wa/W rW _ I?l?owW? 19ri1'8 d? ?v? u. ?rr?. j Na7v A+? v?zs s?nmee._ _ Vr _s ? W,ei*ftca#e of cecuvanC? Wft4 of Cfasm, -- - m t of 15wb* andoectim I + This Certificafe issued pursuant to the nequiremeRts af the Uniform Building 'Code certifying thai at the time of rssuance this structure was in campliance with 1he various ordinances of the City i+egulating huiJding construction ar use_ Far the foIlowing: 21626 use class'sc? SF DW Bw& Pamit rro. ocr,patcy ryne RW 7"nng n;stria onst. owner of saikring9GNS 0RWM=ON Addum . - - ' > LiLvii -•, ?-. - - , Bi, B Arldress '? - I.ocality nate: ? Building P06T IN A CONSPICUOUS PLACE Address 4655 BRISml. Br.w Zip 5512 3 L.ot '' 25 Blk I Sub WESrCN tMLs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main enuy) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch ? Basement finish Deck Please verify with the buildet the removal of roaf test caps from the plumbing system and the shutoff of water supply W the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way ar installing underground sprinkler system. White - City Copy Yellow - Residenl Copy Pink - Contracwr Copy ? a ? ? X Request Date 8/ 30 / 9 3 Fire No - fiougRin Inspection Requiretl't NOTICE: Vau Must Call Elecmcel Inspector It A Rough-In Inapechon ]Q Ves ? No Is ReQwred IN licensed contractor ? owner hereby request inspection of above electrical work at: ,bb AdtlreSS (Streal, Boz ar Roule No.) Ciry 4655 Bristol Blvd Ea an Swwn No. Township Name or No Raege No. CouMy Dakota Occupant (PRMT) Phone No Sons Construction 452-5395 PowerSupphar AOtlreu Dakota Eelctric 4300 220th St. W. Farmin ton Elecinral Convac[or (COmpeny Name) Coniractw§ License No. Joos Electric Co. AM01895 Maiing Adtlress (COntrador or Owner Making Installatlon) 2104 Great Oaks Drive Burnsville MN 55337 AulMnieE SlgnaNre (COntractor/Owner Making Inslalletion) PMne Number 431-4755 MINNESOTA STATE BOARD OF ELECTPICI7V THIS INSPECTION REOUEST WILL NOT GnggsMitlway BICg. - Room 5413 BE ACCEPTEO BY THE STATE BOARO 1821 Unlvenly Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phona (612) 642-0800 ENCLOSED 9/! /?? REQUEST FOR ELECTRICAL INSPECTION ? See insimcLOns (or mmpleimg this brm on back oi yellow copy. X" Befow Work Coyered by This Request EB-0Op01- /aS ? e Add Rep. Typeof8uildmg AppliancesWired EquipmeniWired }[ Home X Range Temporary Service Duplex Water Heater Electric Heaan Apt. BUtlding Dryer Load Management Comm./IndUStrial X FufnaCe 01her (Specdy) Fartn Air Conditioner Olher (specdy) Contrector's Pemarks: Compufe Inspection Fee Be/ow: # Other Fee # ServiceEn[ranceSize Fee # Circwls/Feeders Fee Swimming Pool 1 0 to 200 Amps 1$ 1 o to 1oa Amps 47. Transformers Above 2W _ Amps Above 100 _ Amps Siqns imspecbr5 use onry TOTAL Irrigation sooms $65 . 50 Special InSpedion Alarm/Communica4on THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN /8 M HS. I, the Electncal Inspector, hereby Rough-in ? certity that the above inspection has been made. F,,,ai ?e OFFICE USE ONLV This request witl 18 months trom - '" 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ? 30 .s 651-675-5675 Please complete for modifications to existing residential dwellings. Date 11 / 1? I 200L'j Site Street Address L[10S? 66?,6? 3 I v? Unit # Property Owner ?e S` M ne i az.- Telephone #(W ) `$ S' SS IZ- Contrector 1{ r-wT. Je? ac1?MP«T Telephone#(95) ) 21 Address 3440 C t ? Grc Nw City Pfio r Lalfe State M4) Zip 553-72 The Applicant is: X Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. If you are only installing a water softener and/or water heater, the fee is $15.00 plus the state surcharge - see next section. _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ replacement _ additional ? Lawn Irrigation System _RPZ _PVB X new _ repair _rebuild $ 30.00 State Surcharge I ? G $ 50 j j, NOV 1 t, 2004 Total 1 $ 3 ° 'S° {BY ? I hereby apply for a Residential Plumbing Permit and acknowle ge a formation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed ar ie.rmtl S(hn646r - ?=Qu Applica 's Printed Name 70 PERMIT# RECEIPTOATE: I U?--;?D U'C)? ftESIDENTIAL PLiJM$INfi PERMIT APPLICATION crrYoFEAsm SSSO i'lLOT KNOB itD f.AfiAN, AiA 551 EE 651-6$1-4675 Please complete for: ? single family dwellings > townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system ? SITEADDRESS: C?)CPSNO\ Wdi 1 '" OWNER IVAME:: ?pt' m \ scsnY\ \&ek? TELEPHONE #: (pElk. (a( - RS?Ia. (AREA CODE) I INSTALLER NAME: STREET ADDRESS: 605 12th llvanl.ie e?" CITY: NoPkins, hiN 55343 TELEPHONE 93A-9b_1CQ (AREA CODE) STATE: Plara n cherk mark nar} tn }ha nPrmit wnrk tvne ZIP:- New residential dweiling unit under construction and not owner/occupied ° $ 90:00,= - ...? .- ? Add-on, modification or alteration to existina dwelling unit, including: '50;00 - • • abandonment of septic system • new instAllation%repaidrebuild of RPZ • lawn irrigation system - • water tumaround Natureofwork:_Vp01LiC? ?P (tx&lr hFOi,IeE Septic System, new/refurbished - $ 225.00- • includes County & Consulting Inspector fees • requires MPC license State Surcharge ??IYJ Total ?III, I1jI4LL u Reminder: Be sure to,schedWe, inspections of alterations, i.e. wate' heaters, water softeners, etc, - • I hereby acknowledge that I have read this applicahon, state thal the information is correc[, and agree to complywith all applicable Ciry of Eagan oidinance§.. Ic is the'applicanPsiresponsibility.to rl4Gfy the p[operty owner [hat the City of Eag?ssumes no lia6dity for any damages caused by the:Cityduring its normal' oPe2tional and maintenance activihes to the hacilities consUuIXed under thisP' e itwithimG trof.waY/easemenl.__ ?P??[? OF Updated 1101 CITYfOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ? PERMIT TYPE: Permit Number: Date Issued: ? BUILDING 021826 08/06/93 SITE ADDRESS: P.I.M.: 10-83750-250-01 DESCRIPTION: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal B Ia?? z Permit Type rk 7ype ._,.Ac ?e ;?YYixl;...ifi?i'??"?.?t?l;.: 'a s:. 5F DWG NEW R=3 M-1 VN R-1 67 36 R Y*. REMARKS: S&W CONTRACTOR - R C PLBG PRV FEE SUMMARIf: 4655 BRISTOL BLVD LOT: 25 BLOCK: 1 WESTON HILLS VALUATION $741.00 $481.65 $64.50 $750.00 100 $2,037.15 $129,000 MISG FEES Tntal Fee $1,744.50 $3,781.65 CONTRACTOR: - applicant - sT. I.IC, pyyNER• SONS CON57 14525355 0002608 SONS CON5TRUCTION 1091 TIFFANY DR 4600 FAIRWAY HTLLS pR EAGAN MN 55123 EAGAN MM 55123 (612) 452-5355 (612)452-5355 i? .y: r ? ???r? ?* ac r?? e ,??s;?a;?k=:? ??r????? ??` ??5???"???? a??•=?c??^??? ??ra? ?? ; ?s, APPLICANT PERMITEE SIGNATURE INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: Lor: 25 BLOCK: 9655 BRISTOL BLVD WESTON NILLS PERMIT SUBTYPE: SF DWG rv?, ,a?,.AU. ,+: , G ? I55 ED?$ ? SI NATUR PERMITTYPE: eurLoYNe ' Permi[ Number: 021626 Date Issued: m$/ 0 6/ 9 3 1 APPLICANT: SONS CONST (612) 452-5355 TYPE OF WORK: NEW FOOTING FRAMING IN5ULATION FINAL IFIREPLACE REMARKS: S&W CONTRACTOR - R C pl6G PRV n r...e _ M1yT i ? . ? Y a ti? i . Nt1 Y. ? n Y r ? ? , * . ...... _ r ?.?, ... . .. .. _ . . . • u??... ._ .. Y . ' }. .. ?. n ?> t ahw ? . ._. . .u:° REACTIVATE _ PERMFT # ` ? a ?? " cinr oF EAGaN 1893 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, i set of specificatians, 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 1s made, 2) address is changed or 3) lot change is requested once permit is issued. Date -Tj q _Sa Valuation of work ??SS -LKt"'-P L_ F'L_ V f ite Address : STREET SUITE # Tenant Name: (commercial only) IAT 9':E7 SIAC& ? SDBD. P.I.D. At ' Descri tion of work: The applicant is: ? Owner ? Contractor ? Other coe8«;be> Name ":7cn r.1 S ?? uS-t- ?? . Phone Property LAST FIRST Owner ? / c I ?u? ( pddress SiREEi STE # r? City State Zip'121231--41 Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber ? lAJ . Processing time for sewer & water permits is two days once area as been approve . 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. n Signature of Applicant• OFFICE USE ONLY BUILDING PERMIT TYPE . . , . ' ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish 0 02 Sf Dwg. 13 07 4-Plex ? 12 Multi. Misc. O 17 5wim Poal ? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility [3 21 Miscellaneous WORK TYPE M 31 New ? 33 Alterations O 35 Tenant Finish 0 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) 4,"- N Basement sq. ft. MWCC System C-S SAllowable) v-m lst F1. sq. ft. City Water UBC ccupancy -R 3 M-I 2nd F1. sq. ft. PRY Required ? Zoning ; R_I Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler length ? On-site well Census Code Depth On-site sewage _ SAC Code APPROVALS ? ? Planning Building Assessments ? fngineering Yariance REGIUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final O Framing O Draintite ? Insulation ? fireplace Permit Fee vaiuaciw,: g Surcharge Plan Review G'ARAGE; 2q?/ - Zx2°=5907?/6 = 9 ?1 License MWCC SAC t3SMT; 3y x 36 = 122y? ? City SAC Z x// iz = C23) Water Conn. /?x15 Water Meter 'l'lzX 12/y = ( 58) Acct. Deposit ?--- 5/W Permi t ??. ?-?a? ? 93 ti 15?s }4 $q 5 S/W Surcharge . Treatment Pl. 13s"7T= cM3 Road Unit Park Ded. 2x6'Ja- 13 Trails Ded. y00ra x SN = 54,3z?? Copies Other 2NaFL?00r2; Total: ,34??,']r918x54= 4 `1?5?2 sac % 100 g, SAC Units __T_ LOT BIIRVEY CHECRLIST FOR RESIDENTIAL . .F . ? BUILDING ERMIT APFLICATION m pROPERTY LE(iAL• < w. < ? Date of Survey: QQCUMENT BTANDARDS 0 • Registered Land Surveyor signature and company $ 0 0 • Building Permit Applicant fd? ? 0 • Legal description 0 9' ? • Address Cr?? 0 • North arrow and bar scale C? 0? • House type (rambler, walkout, eplit w/o, split entry, lookout, etc.) 0-?0 ? • Directional drainage arrows with slope/gradient $. D[a' 0 • Proposedjexisting sewer and water services 0' o ? • Street name 0--0 0 • Driveway ELEVATIONS Exiatina ? Ct? 0 • Sewer service la' ? D • Lot corners 0 Q? 0 • Top of curb at the driveway p w'13 • Elevations of any existing adjacent homes Provoaed fd' 0 ? • Garage floor v p p • First floor 0' 0? • Lowest exposed elevation (walkout/window) C'?0 0 • Property corners t?? ? • Front and rear of home at the foundation PONDING AREAB (if avulicable) Q? 0 • Easement line ? • NwL ? 11 • HWL ? p • Pond J designation D • Emergency Overflow Elevation DIMENBIONS Q" ? ? • Fr-0 0 /p o , C7' 0 0 • ?0 ? • ? p?i . Lot lines Right-of-way and street width (to back of curb) Proposed home dimensions includinq any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and setback of adjacent existing homes Ret Reviewed October 1992 . . +; .. i`?` ?.'? ? ; • 8XT8?IU$.4XVSi:QJ!!?,?l?'?,?RrYih,., 7b DO P ^ p ? ? ? PIO]ECt 'PitlE ?- rx' • .? , . ; , c -,z. Y?, . ? ? . Si{ie ?Q9 "v? .?. ? ' / L HXPO$SD WALL,CAWTJInATl011$a.' ° r ?. '..., ; `aze s; , va??,'' `• ~,? + ? ? ; . ? ,???.•a#, ??? ° a`????.,,, ?:' A. MasonrY/aonareE@ 8?" b . ?. . ? ?i ", '??';?:?,...,??.?Ili•: .,,..?--•?-.•- '?n C? 2 • 8?? b. 3• WOW FC81pe, 14 i 8f?. '?l?.d??+A6?.7?q ""; ? • ?.:., y, r V k1 ? «?,.?,:.i,? Ara Ye ?.??;?W'4'A??.uQi!,`???p!:??_`irW? Ci• 4• PerL sr.??? t? ?,)??•'??? ? ? e?1?'?'," . -ki? . . .c : .. , ? b 8• Ctld7:Lln l. WindOwB . , ? •? ? a. ?. ? •? `? .,,;; rt,?.. b ' •? 2. DoCrs ' C. DoOts 1. Wbod a. Solid g,;- ., b. Wit?li -?stp "' 2. Meta1 3• w??' i..•,'xz.r.??•:r.':Ng'.L`? ?'.? `+ n?a.ar:._ 4. OF.kIBr ? ' •,.?,r.?.!? " ' ?^r'-- II ??"? • . . ._ . . . ? f?.. ? ?; :In? N..?ii1' F, . •_ q; '? . 2; .. '. - , D. TD'IAL W81Iir ?A . ? ?,. ". .. ?,i?y?o??:niu / s f t.......... E. ZOUL of AM,x OUN ....n......? ? v? n???t?.??rn?,??i ? ?,??i?? , ?'.. ?' ?^?,!}^ ?4?y??S???C? d• _ ?. ; ! ' S '????v?? ?"1 w , ?i ;^?? • LVr'3A'?''P OY T '." . F rT'?,..:A?yl '_,, n ? .t[x ?4'?. II. 800F/CB11.II?IG CALCLTLA=NB /Ki? - ?'--i'?+ , I178uLd1er] AEmS t A. RGDf B. ADCpI's•iliiglmim''1rg ?'?°?•. ? C. Ro?f?t?;? ?t:'- "r,d?- D. Skylight ? i, ;, ??; '? ? 6 to } r . E. TO'RATr..MM, ' ` ?, ? e ,?.???t4 .? ??.? 3?Y? ?'•,? ! ?li ?i'`G?' ?e??t?ni..+s„? ' ?? •?? ? ? ? ?u?ie?. ?? ? ?; •, Pp?, a? ?e ti ?Y `4?°t"` 3 F. '1OIRL CP AMR ?X ? ro" ?'i._ .! . . ' . '4 ? :??r ?•i i`? n??i???.M1'N. `S •,lC?. y?`y ?M1 •. ? U: BIIMDINM .IWIVIU? ' ' A. FxpOSed l Wd ];1 B • ?-/CaillTlff?i 'S! , C. ?VMY ? pmpzw IV. AC1'UAL BWI,?it4?81TYBLQ$8v, : ";'?' ? '?' rv` <' :j'•' ?? ??k ?-'"? , , , r ,; ??2^ . J . . , A. E4aser3 wa]]. (F;cm I?E) B RoOfXe- ? ? ; ? ?. ?r W ? -? , .. . .?- ?: - ? Y :.. ?? • '?• ' . ? ? Anmw?la C. qrnw. ti d#? I?r : i z v. RBQvI88D"tP:v? ?. y ?"aug la aY ? iIOa/{fRd ? ? tiq .Y '• , i fµy .' v. ,??4, •?*. ?ve??, ?1`K ?+.^f.Tkf°?. . ? , , ;? * Mlti-Fami],y l?sr7?tia1,?8a_1!?g?? t i 3 ` S i ? s ?ar f ea cc ?r? ? ' A11 Other ??m Tom '(3 ' ,r?s? ? ? * All Othet CtxlS,??icxa '1§?ias`. `{(?caps . IWJuiL "Y! vSI?q???t?;?q?? I hereby : Minnesota F3iCCSD 3-R4 CC/SA1 ' 4 "-M l s,•:,..?vsJy. fi , t , ?C" =• '- =:- ' ` , ;. , ., ?? sr.. ? e .e? •yk ^ .a - ? L . • ???? ?z ., ? .. ....??a. ..._r+:?%.,??iist:..I?*6'.an?r• .: :.F s.. r..:.. „ ?tFrv9. ? Sr li ? 4+"r?,???? x,i? ?,, t n ., h4 t± I?' ? It "?. •'` : ,;>..: „ , . i' .?a .:.- ^ °:?? ^^??: m . •. th . P.02 2422Enterprlse Drive * Mendoto Helgfits, MN 55720 * PIQNB?1? (812) 687-1914•Fox 6e1-940e LAND 5VWVVY0N9 ? 4bY. CNCNMS * 8ng ne?r, ?e u1ND P4?NHERB Lu?usc.oc ?mn?c?+s 825 Hlghwdy 70 NorthOae! BIQIne, MN 55434 * * * * (812) 783-1880•Fox 783-1883 Certificate of Survey for: SOnS Construci:ion, IC1C. ?House Address: _ Brtstol Boulevard Eag,°n• MN" ^, ? S79?5? ?4„W 1 Z 3 w_ o ? 24 ? ??J 'p&a. ??tJ? / ? \ y O J ?d a ? i \ v` tc` \ l ? 1 / ?qg 25 ? - ? 26 > i 'I V ip d ? NOTE: CONTRAC70R tAUST VERIFY ALL DIMENSIDNS ANO dt2{VEWAY NN x ooo.o Denotes Exigting Elevation PROPD5ED HDUSE ELEVATION k(? Denotes Proposed Elevakion Lowest Floor Elevatian; 941.55 Denotea Drainaga & Uttllty Easement Top of Block Elevatton!949.66 ----- Denotes Drotnage Flow DIrection ---- --o- Denofea Monument Garage Slab Elevation:949.33 , s_ Denotes Offset Hub 8earings shown are nssumed LOT-25, BLOCK 1 WE5TON HILLS OAKOTA CoUN?Y. MINNESbTA 1 Aereyy efttiW lhal lhls WrveV. Dhn or repart?. ?t.p,.rLlpaeM b Y^? wund?lr my dhect ?u rv,?gipn and tAet 1 em dWy Repleterad lard SUrveVOr undtr the t8w? oi thi Stata ol Mlnn!lom, ?Nd thlS?i?-tlay or'.slI.D. i9 ? 5cale1?=3d eBk „ Em 03167.00 R-96% Of-28-93 . M P002 lt18 ? -, CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: p.I.N.: 10-83750-250-01 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4655 BRISTOL BLVD LOT: 25 BLOCK: 1 WESTON HILLS g d . [ k v p M S ? . ".d: =6MP 3 nd??',..-==F=?:y * ?-w Permit Type 4ork Type tl?? ?. ?. N ? P va„q? u h?+??.??„* • a?.v DECK NEW 434 ALT. RESIDENTIAL BUILpING 028452 @S/02J96 "a d?.« ? ? ?? ? ,`c? ? t'?a..?? c Ev"? REMARKS: FEE SUMMARY: Bases Fee $45.00 Surcharge $•50 7ota1 Fee $45.50 CONTRACTOR: n osd?ge ; anfimr`rr+atfori" S'tatutes artd mf ¢Etir s t? f APPLICANT/PERMITEE SIGNATURE OWNER: -- Applicant - MACDONALD BRIAN 4655 BRISTOL BLVD EAGAN MN 55123 (612)683-9146 ? n d a? _a'er t ? e. t s > ae . z s s a( ? ?"? ! h ?nm#?]?y?-?`itrk€-a?1=.a¢p?.?c?b`le: f+tate f Mn:,' a T - F _f[S I 1?1RIG?.fll? I l? CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 ??.? .jo IW461 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 C.L?.1'??GL U New ConsWction Reauirements RemodeVReoair Reyiirements ? 3 registered sRe surveys ? 2 copies of plan ? 2 coples.of plans (Indude beam 8 window sizes; paured fnd. design; ete.) ? 2 site surveys (exterior addHians & dedcs) ? 1 energy ealculations ? 1 energy calculations for heated additions ? 3 copias of tree preservatlon plan if lot plaUed aRer 7/1/93 required: _ Yes No CONSTRUCTION COST: DATE: DESCRIPTION OF WORK: 9eGt STREET ADDRESS: LOT a S BLOCK Q3r)s4z Qla . SUBD.lP.I.D. #: PROPeRTY Name: Alu ? bOvIuId Phone #: owNeR w' StreetAddress, ""'. Bla Ciry: FQ%? State: 01'V zip: S-3-1 a-3 CoNTRACTOR Company: Se Phone #: Street Address: License #: City: State: Zip• ARCHI7ECT/ Company: Phone #* ENGINEER Name: Registration #: Street Address• City: State: Zip: Sewer 8 water licensed plumber. change are requested once permit is issued. Penaity applies when address change and loc I hereby acknowledge that 1 have read this application and state that the information is corzect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicank OFFICE USE ONLY . Certificates of Survey Received Yes Tree Preservation Plan Received - Yes No _ No ? N. ez •? 'K 7{? '? ` * PIQN??p LMo SURNZY?.?. * eng near r(iie? ?D ??ERf • LM I * ?c * * 21 - ? o e vj ?- . •°o 'o. ,?'?' ??' •' ?y ? ? ? t ?0•\ .y 2 5„ < , ? . a? 26 ? ip %., . Certificote of Survey for: sOI1S Construci:ion. ?nC. ?? House Address: ^ Brlstol Bouleyg[d,_L0_991l. MN ? -,. n, ? S79°'13 54"*1 A02,.92 , 2424 Entarprlse Orlve FAendolo Nel9hla, MN 55120 (612) 6811-19146Fox 081-94BB 825 Hlghway 10 Norlhaast Bialne. NN 55434 (612) 783-1080•Fax 783-1883 24 ro?l\?vi / \.y?,J. o Qti ? i (I§P / ? DEPi7 LOTLJ ?^ ,..?,-tJj OAKOTA COUN1Y, IAINNE507A p?+ ?¢ I htrobV cortUy (hot lhil jurwy, phn Or nport?°??,W,.?epe+ed bY mt or? u?nd?lr iJ?r?i'Oh?1J ??on en that 1 em duly ReqbMr?d lsnd SurveVOr undtr tAa Irva ol thi Et1U ol MInMw12. Dattd Ih4f81YL tlaV ot..sWl?. A.D. ?9 ? 10 ? / . lk p 1 V ? 0??? e?m? NUTE: CON7RAC70f3 WUST VERiFY ALL DIMENSIONS ANO UqIVEWA"tgGN . soo.c Denotes Exlating Elevation F'ROPO5ED HOUSE ELEVATJOK . o@o. Denotes Propoaed Elevatlon Lowesi floor Elevation:941:55 Denotes Drainage Ae Utplty Easement 7op of Block Elevallon? 949.66 ---?-- Denotes -..-o.- Denotes Droinage Flow Directlon Monumen! Gorage 51ab --- Elevation:949.33 .-e- Denotes Oifset Hub Bearings ahown are assumed L4CK 1 WFSTON H I LL S . Scnle:_ 1?-3?? ?? EM gatez9a ., R-96% F002 1118 ? CktY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 030701 08/27/97 SITE ADDRESS: 4655 BRTSTDL BIVD LOT: 25 BLOCK: 1 WESTON HILLS P.I.N.: 10-83750-250-01 DESCRIPTION: pECK NEW 434 ALT. RESIOENTIAL tVoFeagan REMARKS: FEE SUMMARY: Base Fee Surcharge Subtotal CONTRACTOR: ., : t $50.00 COPY (1) $.25 $.56 Total Fee $50.75 $56.50 ! / """'t-41&? APPLICANTlPERMITEE SIGNATURE OWNER: _ qppyicant - MACOQNALD BRIAN 4655 BRTSTOL BLVD EAGAN MN (612)683-9146 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 'S-6 ' 7 s CITY OF EAGAN d. no ? 3830 P I L O T K N O B R D - 5 5 1 2 2 ?'a'"?`?' 681-4675 k/a,7 New Canstruction Reauirements RemodellReoair Reauirements ? 3 registered sde surveys ? 2 copias of plan ? 2 copies of plans (inWude beam & window aizes; poured fid. tlosign; etc.) ? 2 site surveys (exterior additions 8 dedcs) ? 1 energy wlculations ? t energy wlculations for heated aAditlons ? 3 wpies of tree praservation plan H lot pWttetl after 711/93 required: _Yes No DATE: OJ? l?y -7 CONSTRUCTION COST: /vZ DESCRIPTION OF WORK: peeK STREETADDRESS: y?-s? I?YIS?DL ???EC LOT `;?S * BLOCK SUBD./P.I.D. #: _,Y-RoaeRrr OWNER CONTRACTOR Name: Mlic b:,Yla(J IS Yla, Phone #: wr msr Street Address: (-(?? a?'ts -l-o c- p If 4c City: C uy a"- State: IOAI Zip: Company: .s& Phone #: Street Address: City: License Zip: ARCHITECT/ Company: ENGINEER Phone #: Name: Registration #: 5treet Address: City: Sewer & water licer•ned plumber (new construction only): and lot change arc iequested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this applica5on and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ Tree Preservation Plan Received Yes State: State: Zip: N4 ?nklc?, /.3Y/<tvr • Y { ,?* ** * PIG1NEEp * eng neer wr0 * * ** ? ? ? ? 25 \y ? : CerNflcate of Survey for: ?1IS Construcl:ion, ?nC. ?House AddreSS: , Brlato) Boulev d a N 1 ? i. ^, i 5w jw54Nw An7,gx L,f. 21 • 3o a N,? ? W , ?<-_ o yµkl ? q? , tiL&V3?ttN b ? 26 ? b? ? f ? ? . ?\\b o?$? ? ?-4 \\ ? P.e2 2424 Entsrprise Ur1ve Mendota Hoi9hls, MN 55120 ;e12) sei-ista•Fox sat-saee 625 Highway 10 Northoael Biolne. MN 55434 in»1'fnI-tB9o•Faz 783-1983 24 ?• ? J . iy , ? / ? ati i . . c: IJEi''Il NOTE: CON7RAC70R IAUST VERIFY ALL DIMENSIONS AND ORIVEWAY/Og(N . 1100.0 Denotes Exiating Elevation F'ROPO5ED HOUSE. ELEVATIOIJ ¦ oa Denotea Propoaed Elevotion Lowesi Floor Elevotlon:941 ?55 Denotea Drainage de Utillty Easement Top of Block Elevatlon!949.6B ---?-- Denolee Dralnage Flow Dtrecttan --- W-o- Danotea Monument Garage 51ab Elevatlon:949.33 --E3 - Denotas Offset Hub Beartngs ahown are nssumed LOT-.2-5, BLOCK 1 WESTON H LLS .,,. l1AKOTA CalIN1Y, MINNESbTA P ,??? ta ., ?i a lhat I?m dUly flepliteod lind 6urveYOw 1 AOrebY NtNW that th11 1UfVey, obd or rqion r tuaoared bv m{ oru?,d,1r rAyR r, undtrtha 11w ot lho EaU ol Mimetou, l7aled Ih4 tlay or_-aL1k7i---.. a.0• ?9 L11121- If '1'L°` ^ o?0 ? 1 ?,. ? 93187.00 rnnz itie PLEASE COMPLETE FOR SINGLE FAMILY DWELLIIVGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UN1T. FIX-7URES EAC-H TOT? SHOWER 3.00 3.- 1 WA I`t?t CivSET ?: ' a BATH TUB 3.00 - LAVATORY 3.00 ? ? KTTCHEN SINK 3.00 ! LAUNDRY TRAY 3.00 3 ? HOT TUB/SPA 3•00 1 WATER I-iEATER 3.00 3- - 1 FLOOR DRAIN 3.00 2 GAS PIPING OUTLET •min;mum - t 3.00 ` _ 3 ROUGH OPENINGS 1.50 SZJ _ WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cty.lic. 15.00 U.G. SPRINKLER • eome unan comt. 3.00 ALTERATIONS • w ao:iin8 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: 33. 11-0 SITE ADDRESS: 4655 Bristol Blvd OWNER NAME: Sons Construction INSTALLER: R C Plumbing ADDRESS: 5910 Chester Ave CTT'y; Northfield STATE: mn ZIP CODE: 55057 PHONE #: ( 612) 461-2096 S GNA URE OF E M EE 1993 PLUMBING PERNIIT (RESIDENI7AL) C1TY OF FAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681.4675 .. :. , .a;.. ' ' . aa•__ ,e?_ - . - ,. . ._ '?4' ," .• - . t i? ? ?. . ?. . . . 'M'-':+L' . :.•Ct??t?: ? :Y`.? [ . . ..? . . a I . MECHANICAL PIItMIT: (RESIDIIVT7AL) ? CITY OF EAGAN `. 3830 PIIAT ?SNOB RD EAGAN MN 55122 ...,-....?: (612) 681=4675 PLFASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTI'S ARE REQUIItED FOR EACH UN1T.. ,. ? NEW CONSTRUCI'ION ,.< .. _.v .:._:.. ,,. ADD-ON A/C - ADD-ON FURNACE - . ».. _._ .. . . DATE ? 8-(S4-93 „n,?:: ? ' ? ` Y.. .. . : xvAC: aioo M BTv $ 24.00 , ADDTI'IONAL 50 M BTU 6.00 &AS O[TTL.ET$ (MINIMUM 1 Q 53.00 EACH) ?. CCD :, . ADD-0N/REMODEL (ExtsrNG CoNStxucTior) 15.00 - ? . . ... . STATE SURCHARGE .50 . , ..;:,. ToTAr., srrE a?nDxESS: 4655 6ri5bL- ibou l e?-Qrd OWNER NANIE,: S SCIJr'15'fY'UC'i-r c7Yl TELEPHONE #: 45a= ?355 INSTALL.ER: GENZ-RYAN PLiMING & HEAT7NG C0. ADDRFSS: 14745 South Robert Trail ry' CTfY: Rosemount . STATE: !=: ZIP CODE• 55068 TELEPHONE #: (612). 423-1144 ?P-?pn?e?rtn.e?e?-h " N TURE OF PERMITfEE 5s°f RESIDENTlAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 851-681•4875 NewCOnsVUCtlonBeouiramentB pamadeVRepehBeouiremeMs • 3 regl?ered site surveys eYwwing sq. R of bt, sq.1t, of hause; a? II mofeU areas " . 2 eoplas of plan " (20%ma)dmumlotcoveragealbweO ' . . :?. 1setOfEnergyCalculatbnsforheatedaACAbns . 2 rwpies of plen strowhg besm & wMdow s'aes; poured fouM deaign, etc.) + 1 sRe survey for eiderbr adAftbns & decks • 1 set of Energy Caloulatbns • Indkate il home served 6y septic system br addttions • 3 copies ot Tree Preservetbn Plan if bt platletl atter 7l1/93 . Rim Joist Detail Optbns seleclbn sheet (bitlgs wNh 3 or less units) DATE SITE ADDRESS TYPE OF aS XN FIREPLACE(S) _ 0 _ i _ 2 APPLICANT L-A44 I 0i % 7c t-o,jv-tOt/'S STREET ADDRESS _ I S'fS1 6 t?nn fFy CRYABAal-STATE_M. ZIP_;7?,Fr TELEPHONE # 6SI G9S?6RD CELL PHONE #&I Az(S S$qS FAX # 6j71 .2 ti 7 ei ys" PROPERTYOWNER [/e+",y X.4Y1GlG+er- TELEPHONE# ii?3'? G6Sy??S ------------------------ ------------ ---------- ---°---------- ------ ---.... ----°--------- COMPLETE THIS SECTION FOR "N EW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RUI.F.S 7670 CATEGORY i MINNESOTA RULFS 7672 (4 submission type) • Reaidenfial Ventilation Category t Worksheet Submitted • New Energy Code Workshcet Submilted • Energy Envelope Calculations SubmiHed Mumbing Conhactor. __ Plumbing system includes: Mechpnfcal Conhactor: Mechanical system includes: Sewer/Water Conhcctor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System _ Phone # I.awn Sprinkler No. of A.I. Baths Fee: $90.00 AUs 0 2 20d2 ? I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota StotuTes and City of Eagan Ordinances. . , Signalure ofApplicant IA? -------.._._ ..... ............_------°------_._.........._.?._..._..._.??......._ _......?..._..._. OFFICE USE ONLY CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 MULTI-FAMILY BLDG _ Y VALUATION ? ?S ?U ÷ï÷ î ÿ þýý üôüú ùýýÿðð ý é ö ôÞ þý÷ þýüûúù ñý ûúù â í ùñý Üý ù ë òý ë ïýü ä ÿþ ù ÿ ý ïöë å î ä æèè öù þý ï ñê æèè õððó ÷òñ ùù öëö Ýõ õã ëú þï ì î äâô äâô àìßôô ï üú í ï ï î ï ùù ï ï ÷ ë ëùúíï ùù ü þ ÷ä þ ý õú÷ ð è ùù é ý úþ ý City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: I S2XO J()9< Date Received: Staff: r) Xi) 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Name: ... :=.:y2v�e�n,.� �c.�,n„, s„.1 Phone: edZ 4,780 ,� fZ d Address / City / Zip: 1-"&>-`)- .6.4 5;7--, z_ Mi..., Applicant is: Owner > Contractor Type of Work Description of work:, y Construction Cost: Multi -Family Building: (Yes / No ) Contractor Company: `4,%, lnL,,,v,) e-6/15' � to /r Contact: �lr Address: 3 15 i�i;-,t� ��lL'_L City: 64 bI D J / State: p Zip: S S /13 Phone: /p /Z 3t ', /t -(Z Z_ License #: - / ?9/,:pi, Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildingde must be completed within 180 days of permit issuance. x / ii %G=O,1nrz,l Applicants Printed Name App'I it's Signa Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123287 Date Issued:06/03/2014 Permit Category:ePermit Site Address: 4655 Bristol Blvd Lot:025 Block: 001 Addition: Weston Hills PID:10-83750-01-250 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. Fixtures:Kitchen sink Keith Nelson 1658 Headwaters Lane Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 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 - Jeremy P Schneider 4655 Bristol Blvd Eagan MN 55123 (651) 688-8512 Keith Nelson Services Llc 1658 Headwaters Ln Woodbury MN 55129 (651) 739-1048 Applicant/Permitee: Signature Issued By: Signature 4,11/ City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: t_3866-7 Permit Fee: 1 D� Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident! @ OiAif1r � ,y, JJ Name: ;� 6,, , 44 n e d1,7 Phone: t Address / City / Zip: 1&'5.5-- L- -12 L & iJrN . Applicant is: Owner >,____ Contractor Type of or Description of work:/ ;� Construction Cost: /g Sc.Cl‘Multi-Family Building: (Yes / No ) x.l n#ra+etor: Company: 14-11 /64.4.50-)6) 1 z,v`r, Contact: Address: --�� B% y,a City: %%1QX-A,-✓ %03 AI/S .� State: dl) Zip: g -C/Z.,3 Phone: &)Z., T.'3 iyZZEmail: License #: - /3c7.,/ / Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are ons! e to be public i formatio i 'Portion the informationmay be classifiedri f Public if you provide specific reasons � permit they x,fo de that they are, trade secrets. l" 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin • - • • = must be comp : - . , ithin 180 days of rmit issuance. x!f i r.11 gZ11 Applicant's Printed Name is Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA148155 Date Issued:03/09/2018 Permit Category:ePermit Site Address: 4655 Bristol Blvd Lot:025 Block: 001 Addition: Weston Hills PID:10-83750-01-250 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Jeremy P Schneider 4655 Bristol Blvd Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167057 Date Issued:02/19/2021 Permit Category:ePermit Site Address: 4655 Bristol Blvd Lot:025 Block: 001 Addition: Weston Hills PID:10-83750-01-250 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nathan James Schneider 4655 Bristol Blvd Eagan MN 55123 (651) 353-7122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature