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4733 Bristol BlvdCITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: I I . ;+;ilba... '1 o TYPE aF WORK: f ; N :# i I Permit No. Permit Holder Date Telephone # ELECTRlC PLUMBING HVAC Inspection Qate lnsp. Comments FOOTI NGS FaUND FRAMING RDOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL , GYPBOARD FIREPLACF FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECIC FfG DECK FINAL 1c1Tlr'0F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: #733 ;. PERMIT SUBTYPE: i i. 1?CORD PERMIT TYPE: - Permit Number: '?7 ? •' ? ? ' Qate Issued: t:?i?,, r, E APPLICANT: - TYPE 4F WORK: INSPECTION .. . .. i% el it #, `; i' I' 11 Ld t'I hk - F:,lirF; t 1'N F`i_l.to 'VI ,- ? - . . ..-. . ?......,a _:: r'.r . _., ..?? - - ` - . . Permk No. Permit Holder Date Telephone M S/W PLUMBING 3 W HVAC 8 9 9?9-?l? ELECTRI ELECTRIC Inspection Date insp. CommeMs Foatings I `-9 f r? f ' Foundation ?74 1/ A,? Framing 9lQ'Y ? Roafing Rough Plbg. -a2?-%Z/ Rough Htg. I5ul. ux 3/?olq 4??,Q ?Q Fireplace R Final Htg. Orsat Test I? Fnal Plbg. Pibg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final i?0[ Deck Ftg. L Deck Final Well Pr. Disp. a :` 4 WCL`tif[CQte nf CCCupQnC? WU4 of Wagan Teoartmen# of ZKilbarg ;3ai6Vetrian This Cenificate issued pursuant to the requfrements af the Ureiform Building Code eertifying that at the time of issuance this structure was in compliance wiih the various ordinances of the City regulatiag building construction or use. For the following: Use Classification: .S'R BW Bldg. Permit No. 22893 pocupancY Type R3h1?_ Zoning Distria R I Type Const. VN Qwner of Buifding TNMAAR FIM C1 Address ?? ? ?Bwy g MGM BuiWing Addmss ,1a733 ERTS".fYX. RT VD Localiry 1,5- BL, VESI1'N HI7I.S 2ND [ate: U ???/X ??•/? offi POST IN A CONSPICUOUS PL4CE Address 4733 &tIS10L ffiAD Zip 5512 3 Lot, . 5- Blk 1 Sub wFSrotv = 2rID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 04 18 94 Yes No Inspector: Final gtade (6" from siding) V/ Permanent steps (gatage) ? Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded gtass TraiUcurb damage ? rorcn Basement finish V ??Z Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to the outside lawn faucet before freeze potential exisis. Contaa engineering division at 681-4645 before working in right-of•way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy (3?-/y 01Faillf irv N 24 3 5 , ? c?n? ?'p 00 Request Oata ? ? ^ Flre No Rou gh-in InpSecLOn Reqyiretl ('IOU m?.u?syt call im0edor when reaUy) IrispecUO? Other TM1an Rough-ln ? qeady Now ? ill NotiFj InSpecWr ' 9 10??es ? Na Date Reatly IAi,iicensed contractor ? owner hereby request mspechon of above electrical work at: Job Atldress IStreel Box or Rou[e No ? qty Secoon No Township Name or No Rarge No Counly OccupantlPRINT7 Phone No ? /'? ? y?/ r4 Powr5oi ? AOtlress ulf 17r ?.?0 "OTA c te? ?5-c Zo - ,? Elemncal onvactoleCwnpany Namg) ConVactor's License No Mailing ADOress (GOnirector or Owner Making - 9 Inslallation) 1 4o i 5 ANhonzetl Siqnatu IGOnire riOwner Making Ingall on? P?orre NumDer ?t&-3y7 MINNESOTA STATE BDARD DF ELECTpICITY THIS INSPEGTION AEQUEST WILL NOT OriggsMlOway BIOg. - qoom 3-1]3 BE ACCEPTED BV THE STATE BOARD 1821 University Ave, St Paul. MN 55106 UNLESS PFOPER INSPECTION FEE IS PMne (812) 662-0800 ENCLOSED 3/8/c's y? / REQUESSFOR ELECTRICAL INSPECTION i.?4?'.?'d?'l3l0 ?* ' ? ? See insvuni ns 1or completing this form on back ot yellow copy ,443 ? X" 8elow Work Covered by 'fhis Request %MV ew Add Rep TypeofBuiltling AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heaier Electric Heating Apt BuAding Dryer Load Management Comm.llndustnal Fomace Other (Specity) Farm Air Conditioner Other (syecdy) Conbactork RemaBs ?yGKZ? CC /s rs FAWO 3 . Campute Inspechon Fee Below # Other Fee # ServiceEntranceSrze Fe uhs/Feeders Circ Fee Swimming Pool 0 to 200 Amp i00 Amps 0 to Transformers Above 200 _ Amps Above Amps Signs . Inspeclor§ o TOTpL Sa ' Irngation Booms Special lnspeaion Alarm/Communication THIS INSTALI.ATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. I, the Elecnical Inspector, hereby Rouyn,,n G Y. Atfaaa? certity that the above inspection h been made F,nai oare , OFFICE OSE aNLY This repuest voitl 18 montM1S lrom 0 - ?? 09 F11 0? ($?0 °N /JA .? I 01 Requetl Date 3o C Q Fre No ough-In Inspedion Reqwretl (Y°u mustcell mspaclor en reatly) Ins ion Olher Than Rough-In eatly Now ? Will Natlfy Inspecmr - _? ? Ves Na e Read I ' ensed contractor ? owner hereby request inspection of above electrical work at: Job tldress (SVael, Box or Route NoJ 4733 Brisiol 'Ovid Ciry Seclion No. TOwn3hp Nam¢ or No Renge No County Occupant(P I ) ? r? ? ? cW/?V `(?Y Phone No. c?( Povrer Supplier AtlCresa ElBdncal Con[2clor (COmpany Name) Contradots License No Harrison Electric, Inc. CA 00808 Mailing Address (COntredor w O.mer MaWng Installation) Nevada Ave. N., #301, Go den Valley, MN 55427 Authometl ig ature ConlraclodOwn ng st lation) Phone Number 544-3300 MINNESOTA $T BOAHD O ELECiP ITY THIS INSPECTION PEOUEST WILL NOT I II BE ACCEPTED BV THE STATE BOARD Grigga-Midway Bitlg. - Xoom 5128 I 11111 1111111111111 1821 Universiry Ave., SL Paul, MN 55109 ? UNLESS PROPER INSPECTION FEE IS . ew....e.a." uv.nnnn . ? ruri nccn REQUEST FOR ELECTRICAL INSPECTION EB-ooopo?t- ?, / 10. See mstmc6ons for completing Ihrs form on back of yellow copy "X" 8elow WnT1c CaAered by This Aequest Ne Add R. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Building Dryer Load Management Comm./Industnal F ace Other (Specify) Farm -I Air Conditioner Olher (specify) ConVacror's1Remarks Compute Inspection Fee Below: v 0l? ? ?? qll # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 ta 200 Amps 0 to 100 Amps Transformers Above 200 Amps A ve 100 -Amps $I IlS InspecYOr's Use Only TOTAL Irrigation 8ooms j Special Ins ection Alarcn/Communication THIS INSTALLATION MAY BE O D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby h i RougMn Da[e certify that t e above nspection has been made. Fina? oace ?y OFFICE USE ONI.Y This request vatl 18 monNS hom ia?('? -s ------------------ ; ?n ?7 ; j Permit#:? v?lY`?? j ? Permit Fee•. l v ? ? Date Received: j ? I I Statt: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (;?' d-,9---0 `-' Site Address: 4-131BrC?D5 ? vck Tenant: Suite #: RESIDENTlOWNER Name:Jckin 11'aWLisVetS Phone;t4P_C4^0eb"0?k1 Address / City / Zip: J+_?W k"J< <5id a 01 @&YF_`1y._?1C-L3 Applicant is: _ Owner _i, Contractor TYPE OF WORK P Description of work: V_ejA , Construction Cost t (l , ?0 ?? Multi-Family Building: (Yes _ / Nak CONTRACTOR Name: (Y1Py^ U1 64, Caxtaous, V/1C- License #: QLW199A%3 Address.aq(pC? au'd(CCLi (r? ? `?(f? City: Rc.1f V1SL??fz State: MN Zip: _(-?5?-? 6Ctfwl `4L q5 --?()-?" b`5?-) C n dP Ph t a erso : on one a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Calegory t Worksheet • New Energy Code Worksheet C8t0g01'y Submitted Submitled (4 submission type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a permit For a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: NOTE:BIansand'suppAYfln?d¢ctrrnedF'sthatqotrsubmftaYecpn?s7d'ere[?tc?be?zFrblrele?r,r?afio1-1111 n1?'ar=hans??f ? the inlormahorrmay be 6fa5?+fled as hon p?(b/rc;rf you1prourd0 spectli? rea?tS?? if;ia? kt+at?ld,permit #fiB?Cl?y ta ? _: ?, ' ` ' esecr?ls ?'Yco?ncl 4???ha[wxhe ace,f?ad u I hereby acknowledge that this information is complete and accurate; that the work will be in coniormance with the ordinances and codes of the Cily ot Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to slart without a permit; that the work wiil 6e in accortlance with the approved plan m the case of work which requires a review and approval of plans. xbC4'LGt iiz?2V- x Applicant's Printed Name ApplicanYs Signature " Page 1 of 3 12713 ?----------------- ? ; ? j Permit ? Permil Fee: I ? ? Date Received: ? I ? I ? I StaH: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite #: SIDENT/OWNER ;Name: o? o Phone:,? ? lr?r?d-?? Address / City / Zip: -1,7?? Applicant is: _ Owner _25? Contractor TYPE OF WORK Description of work: Construction Cost: C6 ? Multi-Family 8uilding: (Yes No CONTRACTOR Name: \ E'Libense#: Zb/(oci'3?? Address:2 Ciry: State: "r h Zip: S S/Z 3 Phone: clS7_ - 7,07-lol"`S? Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Venfilation Calagory 1 Worksheet • New Energy Code Worksheet Category submtned sutmined (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Coniractor: Phone: NOTE: Plans and supporting docurrments thaf.you submitare consideKeB.to be;pu611c In/orr»ation. Portlons of. , the information may be classified as non-public,if'you provide,sp'eclfic:xeasoias.that would-permit:fhe City to -; oonclude thatthe .?ce trade secrets r._ 1 hereby acknowledge that this information is complete and accurate; ihat the work will be in conformance with Ihe ordinances and codes of the Cily ot Eagan; that I understand this is not a permit, but only an applicaiion for a permit, and work is no[ to start without a permit; ihat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. (.?t w?? X`?(u.VIC, Sd/L(c ep?lr xh ApplicanYs Printed Name ApplicanYs Signature Page 1 oi 3 ( . I `l . `? D CCGC?M? 0 2o08 D Cl •ty of Eapn JUL 3 D 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 pS - 05 Ctc.ve,e(? ?----- r ------------ I ?-??7 j Pertnii8: v ? Pemiit Fee. ' ? (? , ? ? ? Date Recei I I i stan: i i ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -71,7014o eRSite Address: 4?/' _T Tenant: Suite tl: RESIDENT/OWNER Name: /a`iN t- X/IDndy %^ck0?2f Phone: QS2 (V-OdLlfi Address / City / Zip: V,77-7 /?re f A / !C4 o Applicant is: _ Owner -/- Contractor TYPEOFWORK ?k&/i e.4 /Q 1nG?v'4 9 P IV Descriptionotwork: _ Construciion CosL• /R 1t?X 21AI-L iM Multi-Family Building: (Yes No 41 CONTRACTOR Name: lan.rE! License #: 2 (Z!Z 6 Address: A0 5! City: ik^ r' -//0 S[ate: z? Zip: r ?? P[? Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Workshee[ Category submined subnmea (4 5ubmiSSion typ9) • Energy Envelope Calculations Submitled In the last 12 months, has the City of Eagan issued a pertnit far a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: NO7E: Plans and supporting documents that you submit are considereaf to be publi'c iniormation. Portions of the Pnformation may be classlfied as h6n-pub7ic 1P you provlde'spect8c reasons tha"{ woufd permlt the City to conclude that the are trede secrets. I here6y acknowledge that ihis information is complete and accurate; ihat the work will be in conformance wi[h the ordinances and codes ot the Ciry of Eagan; that I understand Ihis is not a permit, but only an application for a permit, and work is not to staA withoui a perm@; that the work wlll 6e in accordance with the approved plan in the case of work which requires a review and approval ot plans. x dei^- ApplicanYs Printed Name Ap nt s i atUYe Page 1 of 3 . SUB TYPES ? Foundation ? Single Family ? 01 of _ Plex ? 02-Plex O 03-Plex ? 04-Plex WORK TYPES ? New ? Addition ? Alteration ? Replacement DO NOT WRITE BELOW THIS LINE ? 05-plex ? 16-plex ? Accessory Building ? Pool ? 06-plex ? Fireplace ? Porch (3-season) 0 Eut. Alt. - Multi ? 07-plex K Garage ? Porch (4season) ? Ext. Alt. - SF ? OS-plex ? Deck ? Porch (screen/gazebo/pargola) ? Multi Misc. O 10-plex ? Lower Level ? Storm Damage ? 72-plex ? Miscellaneous ? Interiorimprovemen t ? Siding ? Demolish Building* ? Move Building ? Reroof 0 Demolish Interior ? Fire Repair - ? Windows 0 Demolish Foundation ? EgressWindow ? WaterDamage ' Demolilion (entire building) - give PCA handout to applicant DESCRIPTiON: Occupancy MCES System Valuation I&Q-V Z) Plan Review Code Edition SAC Units (25%_ 100%- )C.) Zoning City Water Census Code .;tgq Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. ? Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) ? Footings (addition) ? Foundation Drain Tile ? Roof: _Ice & Water _Final ,(Framing Fireplace:_R.I. _AirTest _Final Insulation Reviewed By: RESIDENTIAL FEES: Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock Meter Size: F1naIfC.O. Final/No C.O. HVAC Other: Pool: ,Footings AidGas Tests Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall Building Inspector Page 2 of 3 k41, # engmaer??y.. Certificate of Survey for: House Address: . Mode1 Name: , r•? y0 . .? 9 t% lr 4 Y? i / ? 93<2 0? ,a ?n?? ? ? ? 3' , a ` 4?.I9•... ?, ?n ___,_,_ ----- q.44?? ? i G?? ?????WF-D EAGAN ? ? 2I12 Ent rpflM Driva • Ms ou 'ighn,MN?66140 . (6)218 1-1914 . • :3b 'o \\ .? 'i , ? r3,1 ? , 4 943.e6 j7• b? qay A I WE I RINDEPT. ? ? • . , . , ._ . ... • ,., .; . Pq.ar;{ ?.-,•R:` ^l, k. i'J i'1 .? __.. m.% ? ? ? ? ?i = i ' . y o S p m . v,/o?k? Elev 941.5 . . 900.0 penotes Existing Elevatton PROPOSED HOUS vAl10y • •(JE?D Danotea Proposed Elevntlon Lowest Flool' Elevatl o : R3G.6 Denotes Dralnoge & Utllity Easement Top of 81ock Elevoti :`??.,] . Denotes Dralnage Flow Direction Garage Slab Elevati q",3 ' : --o- Denotes Mohurnent i _ -Q- Denotes Offset• Hob gaorings shown are assumed ? • ' BLOCK 1 LOT 5 -?- , 11 _ 1 LIAKCTA COUNIY. IIINNESOTA ? 1 huepY C1r1NV that tAb sUnwK Vlan er nporl wn, pr.ppW bY m* a umitr mY tliral aDervlsion snd !Ml Ia dul 41q N A y pIsH;,1d Le" SurwYer ? . &^ uodatFe lawrofU»Suit o(MinnaoU.Ddadthh.PiZT1l d*vof - • ' _. CV-A.D.1B. u I 4 . . Sch1P: 1hcne 30 lot' RoBll?i 9. flKl M l. l 3 pfi0. No. 1499 Y ?L ? I 94e•e*?x?,o ; /s^f ? . . pSr _ I `, / ? J o ? ` ss ??y? 94 ? 1, . 14 ' ? ??3u er,? ? ? ? 94{?' ?b e1 ? 43?.vs `' y9•ok - ` /?8• 48 -?- ,?X 't? i? •i? x?4t•? q?.?t1.5 /O s? 8??a 30 , AW CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT CP-612414 PERMITTYPE: suzLoiNG Permit Number: 026961 Date Issued: 01 / 16 / 9 6 SITE ADDRESS: P.I.N.: 10-83751-050-01 4733 BRI3TOL BLVD LOT: 5 BLOCK: 1 WESTON HIILS 2ND DESCRIPTION: (GAS LINE ONLY) B"uilding-Permit Type fIREPLACE !6ui`lding Wa_r_k Type ALTERATION ?. ?"'Census Code ? 434 ALT. RESIDENTZAL ....? j \ t REMARKS: FEE SUMMARY: Base Fee $25.00 5urcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - OWNER: GAVIC & 50NS PLBG 17556468 MACKOVETS JON 12725 NIGHTENGALE ST NW 4733 BRISTOL BLVD COON RAPZDS MN 55448 EA6AN MN (612) 755-6468 (612)688-0864 ! L ., I hereby acknowledge that I have read this application'and state tfiat the i,nformation is oorrect and ag_res to ooartply;w3th all applicable State af Mr. Statutes and City of Eagan Ordinances. L _.. . _...,_. _ . . . .. b .. . . . , . ,. . __ . ,?. _. ,. _ , fl n R,?r fm? APP ICANT/PERMITEE SIGNATUFE - (TSSUED BY SIG TURET- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 026961 Eagan, Minnesota 55122-1897 Date Issued: 01 / 16 / 96 (612) 681-4675 SITEADDRESS: P•I•N.: 1e-83761-e5e-e1 pppLICANT: LOT: 5 BLOCK: 1 4733 BRISTOL BLVD GAVIC & SONS PLBG WESTON HILLS 2N0 (612) 755-6468 L PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE ALTERATION DESCRIPTION (GAS LINE ONLY) ? L' CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION 687-4675 DATE: Z"/fa ? / rv DESCRIPTION OF WORK: _ INSTALL bpN FIREPLACE: _ WOOD BURNING _ GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: z? S ? AREA TO BE INSTALLED IN: 15??ame11-'" r. STREET ADDRESS: 51;7?3 ??'5?? J LOT Z BLOCK SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER ???y, I._& 2 ONTRAC 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 5tatutes and City of Eagan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name:Z??4u??c Phone u., ?., Signature: Street Address- Ciry: Company: Signature: Street Address: City: Company .4 City: ? • Zip: Name`: Signatur . Street Addres • ???° Phone #: License #: State: Zip• ? Phone #• ??- 5/4?22 State: i State: Zip: ? Y CITY USE ONLY L S BL ? RECEIPT #: SUBD. ?004t? IJA DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) ?? ? y? 5?aQ o? CITY OF EAGAN I? 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -t675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace ? A,rd-on air conditioning Add-on air excnanger, i.a.'v'anee sysiem, etc. ll ?-ennoK'?-Sa9--ail /??L Date: C") / o? ? lc?5 FEES ? Minimum Fee: Add-on/Remodel (existing residence anly) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL aQ5 d SITE OWNER •?a?n?anpsa INSTALLER NAME: ?????•- PHONE #: Si LOUIS ppW , MN 55428 STREET ADDRESS: ????? SMMEMAO, 1 CITY: STATE: ZIP: PHONE #: ST ? ?-Q? ? ? CITY OF EAGAN 3880 Pilot'Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BuILDING W?2F393 02/69/94 SITE ADDRESS: 4733 BRISTOL BLVD ' LOT: 5 BLOCK: 1 'WES'PON WIL LS 2ND P,I,Nee 10-83751-056-01 DESCRIPTION: BK1i1CGin?_, ermit 7ype ,„;?t?ixd$rqg "rk Type ??? Y=:4 8•ua,ltf'i,v7V #JidtH' R(? J 'a?°'t"a-cGl4?U??'• ??e•? lv"?51 v? n 6 ? kOf? f SF DWG NEW Rw3 M-1 V-N R-1 1 48 45 cotV og aagcin REMARKS: PRV FEE SUMAAARY: S& W PLBR - BJORLIN PLBG F3ase Fee Plan Review Surchargs SAC SAC % sac units Subtotal VALUATLON $702.50 $456.63 $59.0@ 9:800<00 100 $2,01$.13 $118.000 MTSCELLANEOUS 7ota1 Fee _??$1_ ,828.50 $3,845.63 i CONTRACTOR: - ROmAft HOMES CO 1801 OLD HWY 8 NEW BRIGHTON MN (612) 484-4049 Applicant - ST, IIC. 14844044 0081281 116 55112 OWNER: ' ROMAR HOMES CQ 1801 OLD HWY NEW BRIGHTON (612)484-4044 ' 8 116 MN 55112 I}+ereby ackrt•awje tYrig dge that T fiaAv?- r-ead iE1f01'It1at3'9n 15. GT7 , Y`7'eUt SJX1d -35;F."eie,-t'd :G4khply? t3l't''i f4l,? :v 5tatUtEiC S77CI CLty Of Es'Mgc'in GF".Bii'a27PlG.`2'w.`. 4 L . __. _ _. _ ..._ . . k _ ._ . ..._ __._. _. .. . .. . ,_t ... ., ? ?.._ _J _ .<.. ? C APPLI ANT/ ERM ?. SI ATURE ISSUE : j- S URE _-- INSPECTION RECORD CITYOFEAGAN PERMITTYPE: RuzLor.Nc 3830 Pilot Knob Road Permit Number: 022893 Eagan, Minnesota 55123 Date Issued: 0 2/ 0 9/ 9 4 (612) 681-4675 SITE ADDRESS: APPLICANT: Lo r: 5 B L 0 C K: 1 4733 BRISTDL BLVD ROMflR HOMES CO WE570N HILLS 2ND (617) 484-4044, PERMIT SUBTYPE: TYPE OF WORK: 5F DWG NEW INSPECTION FOOTINGS ., . FOUNDATION i ? FRAMING ROOFING ? INSULATION 1=IREPLACE ; ROUGH IN PLBG ROUGIi IN HTG , FTNAL PLBG FINAL REMRRKS: PRV F-' I..... . _ _ _ _ ' " S& W PL6R - BJORLTN PL6G o. r . - ,.._ • - -??<< - - - - - - ?.'.. REACTIYATE _ P6RMI'f iqtt ' SIMGLE 8 MULTI-FAMILY COMMERCIAL CI7Y OF EAGAN 19WBUILDING PERMIT APPLIrAT10N? 44 681-4675 j rr. ^P. jQ1 ! JAN271994 2 sets of plans, 3 registered site surveys, 1 copy of- calcs. 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit Date 4A Yaluation of work Site Address• "k33 STIIEEi fUITE • Tenant Name: (commercial only) lAT ?B1AC& ? SUBDy ?Q?(?ON \N--? P.I.D. N ?a+ `C?i7fl\`C\OP? Descri tion of work: 0z- The applicant is: 1$(Owner atontractor O Other co..«iee> Property Owner Name S?rc?E. R'? Phone _ LAST FtRST - Address City State Zip Lompany , Phone ??k- y.0LL COMfBCtOr Address License Exp City State ?V-) Zip Architect/ Engineer Company eiE r Phone Name Registration f Address City Sewer 3 water licensed plumber',"?..,?c? ?tv sewer 8 water permits is two days once area Zip Processing time for I hereby acknowledge that 1 have read this application and state th;at the information is correct and a9ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. s1R¢er State Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation lp 02 SF Dwg. O 03 SF Addition O 04 SF Porch 0 05 SF Misc. 0 06 Duplex ? 07 4-Plex ? OS B-Plex ? 09 12-Plex ? 10 Multi. Add'1. woRK nrae Ca 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION ?* ' ? ?a , ? 11 Apt./Lodging;=? A°0. BasemPnt Finish ? 12 Mult1. Misc: " &17'Vwim Pool O 13 Garage/Accessory ? 18 Coma./Ind. ? 14 fireplace O 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public facility O 21 Miscellaneous ? 35 Tenant finish E3 37 Demolish O 36 Move Const. (Actual) ? Basement sq. ft. 3 9 Z MWCC System (Allowable) ? lst Fl. sq. ft. 13 8 ? City Hater UBC Occupancy / 2nd F1. sq. ft. PRY Required Ioning ? Sq. Ft. total Booster PumP 1' of Stories Footprint Sq. ft. Fire Sprinkler Length YP On-site well Census Code Depth .33 On-site sewage SAC Code APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site O Wallboard Building Yariance M Footing 0 Final 0 Framing O Draintile Assessments Jc- T_ ? %. 0 Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other Total: SAC % SAC Units Wmtim: Ilte- G 3sG1 N F;ti, z 55. ? 2 ?13 -7 ? 3k y = sZ 38y l Dk z c? = lod?,6 xls = /? ??y er -'zx z. y c /Od8 ? yx y = 5 a ?rr 2?? 2 23 x/6 .....?---= 117??/l ?G ) r 3 2f%s`2z 14? ** ** . * PIONEER ?Q p+p * eng * eer ng.. L'"°'"`"" * ?c * Certificate of Survey for: House Address: . Model Name: r . ? ? ? 740.e Yp? 94ac? ? . r? q, ? \ ? Y ? \ % / ?7• -Vo 9'+? n i ? x ? / ro 0 N/ ,.- ? c N o i J AT a? i v I , , ti•; -• •4/.I9• _ ' w ---?--- ------_ 9.9L?? ?/o, ? ^---- c EAGAN RENIE'WED B? . ` _ 2 ' 72-) y_.,. ? 4a?,9s ` - y9.o?f ` ?8• 48 --- ,?dt't7'ero•00 913.oa ' 0 ?Z. ? I 1 I r ? ? EERINDEP7: i ZL ?. wo?ka.?r Eie? • afto Oenotes Existing Elevatlon PROPQSEQ _FioUS •Q Denotes Propoaed Elevotlon Lowest Floor EleVattc _-- Denotes Oroinoge & lltility Easement Top of Block Elevottc Denotes Drainaye Flow Directlon ? -o- Denotes Monument Garage Slab Elevatic -e.- Denotes Offset Hub Beorings shown are assumed ? LOT 5, BLOCK I,_ WfSW Hit25 P.aAOD OAKCTA COUNIY. MINNESOTA i 1 MnpY prtlly that thh wrNy. Olan M rport wn pnpered by mm, vr under mY dlrKl wpeMAOrk ond MH 1duly unda tM lavw of Mo eon of Minnaou. Dsted iMt.EZLN dri ol A.O, i6 . ' . . -? / Scale: 1hcl- 30 tfti ' aoecrtr D. . ? taza e Ma?da (6)21 i i ? ? ! ? rlse or?y. ghu, MN 68120 191- ? 7 • ? ? ? . \ • \ X?4Z•? T?s???.s IO +?'? ?8 °u ?y al?z 3• . ! 941. 5 VAT10N • i: 93" 1:9A4•3 ? ?pbdrW LeidSurwYw ? I?f?i I'f?RC., AY ' LOT iIIitVEY C8ECICLZST !OR RLBID "LNTI7IL ? aIIILDIDt pERM2T A? LIGITION PROBERTY I.Z6AL= ? ? ? ? • Date of iurveys DOCIIMENT 8TXND B I-11O D • Asgistered iand surveyor siqnature aad coapany ? D • 8uilding Permit 7lpplicaat , ' 0 • Leqal description F G • Addrass G • North anow and bar scale • DID 93 • Houss type (ramblez, vaikout, split .v/o, split entry, lookout, stc.) ? 0 • Directional draiaage orrowa with slope/qradient t. D 0 • Proposed/exi:tinq srwer and vatar services 8? D • Street name ? 0 • Driveway ELLV]?TIONS fl ?D • Lxistiae Sewer ¦ervice Ci' 0 D? D D D • • Lot corners Top of curb at the driveway F?D 0 • Elevatfons of any existir,g adjacent homes D ? 0 • 4ronosed Garage floor • PI D 0 • First floor Hr0 F D D • - Lowest axposed eievation (valkout/wiadow) Property corners D • Fzont and raar of home at the loundation 49NDING f1REA8 (if annlicablo D ? p • ?Lement liae a B' o ? xwL D ?_? • pond y desiqnatioa D L? U • Emerqerfey Overflow Eiovation DZlSETIiBioHB 0?0 0 • Lot lines D??0 0 • 8ight-of-way and street widLh (to baek of eurb) lY D 0 • ProposeG home dimensions ineludiaq any proposed •Qeeks, overhanqs qreatez than 2', pczchea, etc. (i.e. all sLruetures sequiriag permanent toctiaqs) ? D 0 • 8how all easements of record and any City utilities within those sasements ? 0 D • Setbacks of proposed structuze and setback of adjacent existin D 0 • Reta??irements, 3f aay R??e! / / zO"?% Y October 2992 1 , E}CTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER D?l1?s- ?F?iE^:'vACrac.? `` n .l u:•i. w cw SITE ADDRESS CONTRACTOR PHOYE DATE Determine working square footage af each. 1. Total exposed wall area .... " 40 ? sq. ft. x ./1? = 2? y 2. Total roof/ceiling area .... `"r sq. ft. x r02(.? = 35.? Total exposed wall area above floor a. Total wall window area ............................ b. Tata1 door area ............................... ,. c+ S c. Total sliding glass door area ..................... TfU d. Tota1 fireplace wall area ......................... 0 e. Total wall framinS area (average 10Y) ................ l'l 5 f. Total net wall area above•floor ..................... 1 G. g. Total rim joist area .............................. I --r 2. Total exposed foundation area = Sf C, h. Total foundation windaw area ........................ C-:l i. Total net foundation area above grade ............... SS C. Determine "U" value of each wall segment. a. X "U" b. y S X "U" c. `:6 U X t,pll d. C) X "U" e us ° /U?.Np G7 = 3?S- /S? = 3G.O o m a e. / 75 x 1-u„ ,G`s7 = /3:57 f. 1611 XllUll ?6u2 67.4?Z g. l72 X nUil ? U1? a?(O ?G e7 h. c X "U" o ? i. -:i? (..? g nUn ./J 7c = 3 ......................................Tota1 IF ftem 0 3 is the same as, or less than item #l, you have mee the intent of SBC 6006(c)2. . Total exposed roof/ceiling area = ? 3? Y Total gross roaf/ceiling area = j. Total skylight area ....................... - k. Total rooE/ceiling framing area ............ i 1. Tatal net insulated roof/ceiling area ... 12i`.;' Determine "U" value for J. C:> g uUu k. '?? ? X t'u,e 1. 125s g $lUll 4 ................................ each rooE/ceiling segment. O a O 2.5e- ? ??? a 3?• 2 ..... Total ° 37V-i ?7/ If total of a4 is the same as, or less than 02, you have met the in[enC of SBC 6006(01. To utilize [he total envelope system method, the values established by the sum of items 43 and U4 shall not be greater than the sum of items A1 and 92. 1. 2G6 .5 6, + 2. 3S" Sff = 30.2 .5,4 3. 2. y0, 20 + 4. 3 u.75/ = 27u 'cl ct ' Henr"GOSs Wnthontripl N?exp, Im, wAll Cedmg Pla?7 N? ConurueNon No. ? ? ... ?. cr.?I Im W. N?_ LVxL. Inl. -ia11 ara ?.eeder area Lwidih e. i Btu OI and „N.. ,au •ru.n? .erai erp..^ ?. e prp?. u ?n n. ?fnrK ar.? w 1?. Ceef. p?u ?nRltr?llon t p 24 GI??? S E+P. wdI Nn esp. wall Inl. wAll Ceilie Vloor ww um. 1.Y V _Rcquired sq, ft, f,D.R. or iq, ins, WJ?. LeAder un wall ?e T h-e-?",?ee, --.II__ _ ?qW??11011 •.ti.? 0r /' W7-0 ! yse/ tt. E.D.R. or f ?.c?uurv lq. 1t. G.U.R. or 14, mt. WA. Ladrr sira I I 2000 BUILDINC PERMIT APPLICATION (RE5IDENTIAL) cirr oF IE?caN, r? 3830 PILOT KNOB RD ; 55122 o- 851-881-4675? I - a- C-o a •New ConshucMOn RaauiremeMa ? RartadeUReoair ReauiremaMs D 3 roostered fife wrveyS tf Wwlnp tq. fl. of bt, sQ. fl. of houae ? 2 CcPies d plan . and go rooted areaa (20% mmdmum kt coveraaa aliowem j t set d energY cdctAaMam for heateG atldinorn D 2 coples of plana (ahow beam d wlntlow sk" Powetl Ind tleaigm eM.) I 1 siro aurvey for exMda addMOns 8 tlecka ? 1 set of aneryy cdcWaMpq D 3 caples of frea presenatbn plan H Id piaHed afler 7/1/93 ? i ? . DATE: ---," Zlj _ ?Z,000 " CONSTRUCTION COST: J S f ?ivu DESCRIPTION OF WORK: ?, , r? xhq 7e STREET ADDRESS: 33 LOT: ? BLOCK: 8UBD./P.I.D. M: l/I 5'f'o Yl L ; Name: c/??vef.c' Ya? sti ??k??. Phone M: PROPERTY Last Flrst , OWNER sheer address:__X?? ciN ? sra,e: zip: s.s-i z.3 i Campanr.( "`u Phone C i (area'code) CQNiRACTOR SheelAddress: If yJ>ff f??/?sf ! LlCense#26o5?YZY7 Exn. Z?Y,r'c Oc Clly zl.o le State: Zip: ZK ARCHtiECT/ ENGINEER Name: Telephone ?: ( Sfi'eef RegishaHon Y: City Statei Lp: I !' 1 Sewer/water licensed plumber (if installirw sawar/weter): I Phone M. I herepy acknowledqe Ihaf I have read this appftcatbn, slate Nwl Me hifomwibn Is conect, and cpree 1c canPlY wNh aA applicable Sfote of Minnesota StaNFea and City of Eapan Ordirwnces. ; ? ? Sipnature of ApplicanY. ??„?.. d? •/??? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plen Recetved _ Yes _ No ? Not Required BUILDING PERMIT SUBTYPES O 01 Founda6on p 07 05-plex ? 02 SF Dweiling O 08 06-plex ? 03 01 of _ plex O 09 07-plex ? 04 02-plex 13 10 08-plex 0 05 03-plex O 11 10-plex O 06 04-plex ? 12 12-plex WORK TYPE O 31 New 0 32 Addition ,?Iff'33 Alteration O 34 Repair OFFICE USE ONLY ? 13 16-piex p 21 Poroh (&sea.) O O 17 Garege O 22 Porch/Addn. (4-sea.) O 0 l8 Dedc p 23 Porch (screened) O ? 19 Lower Level ? 24 Stortn Damage Plbg ZCYa_N O 25 Miscellaneous O 20 Poal p 30 Accessory Bldg. ? 36 Move Bldg. 0 43 Reroof ? 37 Demolish (Bldg)' O 44 Siding ? 38 Demolish (Interior) O 45 Fire Repair s 13 42 Demolish (Foundation) O 46 Windows/Doors ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code o ? No. of Units i No. of Buildings D Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance 31 Fxt. Alt - MuMi 33 Ext. AR - SF 36 MuRi Permit Fee fir6,5 0 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies rotal: 51 60.sU Valuation: $ 12,600, SAC Units % SAC ? CITY USE ONLY L _ 8L L RECEIPT#: SUBD. yVP,$TOh RECEIPT DATE: PERMfT# 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT RNOB RD EAGAN, LIIt 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TATAI Alterations to existing dweiling - minimum fee Describe: -3f? 4.7+L ? $ 30.00 Bath tub $ 3.00 x = $ Fioor drain 3.00 x = $ GeS pi in Outlet ' minimum - 7 3.00 x = $ HottuWspa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = g Lavato 3.00 x = $ Septic System newrrerumished • rAqulrea MPC Ifc. 75.00 x $ Se tic System abandonmem 30.00 x = $ RPZ new installation/repaidrebuild 30.00 X _ $ ' Rough openin 1.50 x = $ Shower 3.00 x = $ Under round sprinkler rf dwelling is under construction 3.00 x = $ Underground s rinkler 'rf existing dwelling 30.00 x = $ 1Nater closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under wnatructlon 5.00 x = $_ Water soRener if exisGng dwelling 30.00 x = $ Water tumaround 30.00 x $ State Surchar e .50 -> -> -> $ .50 Total -> _> -> --a $ ?30.'Sip Reminder. Cali for inspections of alterations, i.e. water heaters, water softeners, etc, -----°-•-• ••--•-------•--• •-------------------------------•-------°••-•---------•--...----------- -----•-•• •-•----••---------------------- I here6y adcnowledge that I have read this application, state that the iMOrmation is correct, and agree to cortiply xrith ell applicable Ciry of Eagan ordinances. tt is the applicaM's responsibility to nofdy the property ownar that the Cily of Eagan assumes no liability for any damages caused by the City during ils nomial operatianal and maintenance ac[ivkies to the fadlities Conatructed under this pertnk within City property/rightof-way/easement. SITEADDRESS: _ _1/133 OWNER NAME: : TELEPHONE #: 651 688- OP6-1 (AREA CODE) INSTALLER NAME: e77"G ea TELEPHONE #: ? Ya3- 3'X30 n I- (n?a, cooe) STREETADDRESS: /Sa30 C'nk/.A-li?1. W . CITY: STATE: ZIP: ?5d6S • SIGNAT RE OF PER I EE PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. j(_ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE 3- 7-94 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD?ON/RE O?DEL (ExI N Co STRUCTION) C? , $ 20•00 STATE SURCHARGE .50 TOTAL 33zb SI1"E OWNER NAME: ?b (:FU C()UQ?c`? ?alillGf I FU?QI\ TELEPHONE #: INSTALLER: 3260 GORHAMAVE. ADDRFSS: cr ' DUlS Rll{iIE, MIP 55428 SALES 929-6767 SERVICE 92?pA1I.E. ZIP CODE: CITY: TELEPHONE #: SIGNATURE OF PERMITT EE 1994 MECHANICAL PERMIT (RESIDEIVTLAL) CITY OF EAGAN' 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T. NO. FIXTCTRES EACH TOTAL i SHOWER 3.00 3. ? a WATER CLOSET 3.00 (o -? I_ BATH TUB 3.00 LAVATORY 3.00 . o0 I. KITCHEN SINK 3.00 3- ao i LAUNDRY TRAY 3.00 3-o0 HOT TUB/SPA 3.00 ao ? WATER HEATER 3.00 ? FLOOR DRAIN 3.00 3. 6U GAS PIPING OUTLET • minimum - t 3.00 ?c10 ROUGH OPENINGS 1.50 N-SU WATER SOFTENER 5.00 PRIVAT'E DISP. - nex.ay. lic. 20.00 ^ U.G. SPRINKLER • nome under const. 3.00 " ALTERATIONS • io exisung 20.00 - WATER TURN AROUND 20.00 -r STATE SURCHARGE .50 TOTAL: LI a aD ? SITE ADDRESS: ?a?s`1"fiU ? l ?1 ? • ? OWNER NAME: ?omO.s? Y?O`?Rn PHONE #: ( ) 533- la3S? SIGNATURE OF PERMITTEE 1994 PLUM$ING PERMIT (RESIDENTIAL) CTTY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 CITY: ???? ? p_l1? STATE: ? t? ZIP CODE: S?a RESIDENTIAL . BUILDWG PERMI7 APPLICATION ` CITY OF EAGAN 1Q) () 3830 PILOT KNOB RD - 55122 ? 3C) il 651-681-4675 New Canstructian Reauirements RemodeUReoalr Roauirements • 3 registe2d site surveys showing sq fl. of lot, 5q. ft, of house, and all roofed areas • 2 copies of plan (20Wo maximum lot coverage allowed) • 1 set of Energy Calculalions for heated additiORs * 2 copies o( plan showifg Ceam & window sizes; poured found design, etc.) . 1 site suney for ezterior additions 8 decks • 1 Set o( Energy Calcutations • Indicate if home served 6y septic system for additions • 3 copes of Tree Preservation Plan if lol platted after 711l93 • Rim Joist Detail Optians selectian sheet (bldgs with 3 or less units) DATE -O) VALUA?TION (EXCLUDING LAND)AS ?a? ' dd 5?r JOB SITE ADDRESS Y`733 ?g+SI DL ,?!i"/-V? ?A 9A 0 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? / PROPERTY OWNER Zv ? dJ Ft 0- k d j j" TYPE OF WORK APPLICANT ADDRESS PAGER # ??1IPCODE FAX # 7_5?2 ' 99S "74zI1 NCIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) MINNESOTA RULES 7672 - New Enargy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: Mecbanical System Includes: Sewer/Water Contractor: Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of application. 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 Statutes and City of Eagan Ordinances. Signature ot Applicant 11.m-? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Su - Energy Envelope Calculations Submitted Water Softener Water Heater ? No. of Baths Phone #: Lawn Sprinkler No. of R.I. Baths Air Conditioning _ Heat Recovery 3ystem FIREPLACE(S) Fee: $90.00 Updated 7/01 CELL PHONE # PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA105059 Date Issued: 06/22/2012 Permit Category: ePermit Site Address: 4733 Bristol Blvd Lot: 005 Block: 001 Addition: Weston Hills 2nd PID: 10-83751-01-050 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Don Istel Comments: 2500 hwy 88 ste 215 minneapolis, mn 55418 612-354-3350 PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Istels Installation LLC John M Machovets 2500 Hwy. 88, Suite 215 4733 Bristol Blvd Minneapolis MN 55418 Eagan MN 55123 (612) 354-3350 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118335 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 4733 Bristol Blvd Lot:005 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-050 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 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 - John M Machovets 4733 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:EA122762 Date Issued:05/19/2014 Permit Category:ePermit Site Address: 4733 Bristol Blvd Lot:005 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. 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 - John M Machovets 4733 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:EA164878 Date Issued:10/09/2020 Permit Category:ePermit Site Address: 4733 Bristol Blvd Lot:005 Block: 001 Addition: Weston Hills 2nd PID:10-83751-01-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John M & Rhonda J Mackovets 4733 Bristol Blvd Saint Paul MN 55123--398 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature