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4667 Bristol Blvd? INSPE 'C(T'YOF EAGAN 3830 Pilot Knob Road C'..-.n- ?Aiwr.i.....i.. CC1/]n - ? - PERMIT TYPE: Permit Number: +rt) I I Ff ? H,., ki, r,ytil?. 6'I ; ` I tl r ` ? .F.{ I (blZ) l'3t51-4b1b f SITE ADDRESS: APPLlGANT: f. PERlUll7 SUBTYPE: ,w TYPE OF 1NORK: !`! i l:,f 9Garr INSPECTION D, • DA I 4'd".?Ikl !I I I k`1,{ p? ?.:? P'! . i , V 1??t1 i t 1'" I il:ti ; J<v l4 f'1 #7!7 t'i f d{t:i . , i ? J Permit No. Permit Holtler Date Telephone # SNV PLUMB1hiC"a ? 0 I ft ¢ f?/? HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundaiion rF Framing 941clt- Urr/ti2 ?t- c`/?'tJf" 2 Roofing C' P"-v Rough Plbg. /y Raugh Htg. ?? pC? nl i? l5uf. Fireplace Final Htg. ? OrsatTest ' i? Final Pibg. ? Plbg. Inspector - Notify Plumber Canst. Meter , Engr./Plan Bidg. Fnal 464 ? Deck Ftg. Deck Final Well i Pr. Disp. 4103 761- f e ?? - -;* 1 ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road PermitNumber: Eagan, Minnesota 55122-1897 Date Issued: o 4,7-z (612) 681-4675 SITE ADDRESS:' APPLICANT: ,,,i ;,,' 4 i iaI i E 11114 PERMIT SUBTYPE: TYPE OF WORK: ????r ????>?. ? ? ?? "??<? ? ? Pertnit No. Permit Holder Date Telephone 4 ELECTRIC PLUMBING HVAG Inspectton Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BflARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECI( FINAL v ;? WCL`ttftCate of CCC"anC? CM4 vf Wagan mEoAL'?tat 0f $1tft* a1[cloCCtIDIt This Certificate issued pursuant to the requirements of rhe Uniform Building Code certifying thut at the time of issuance this structure was in compliance with the various orrlinances of tlte City regulaxing building constructian or use. For the following: Usc Classification_ SF M Bldg. 1'ecmit No. 24043 Occupancy7)rpe 2R3M1 2aningDisftict RI TypcConst. VN Owner of Building ??'J ?SIR=CN Ad&ess 120Qz SAFAR1 TASS, F,AGAN Building Address 4667 BRISIDL BLVD Localiry L27, $ I. WESTGN HILLS n.: ? Building POST IN A CONSPICUOUS PIACE Address 4667 sRIssmL s[,Vn Zip 5512 3 C.oC 27 Blk i Sub t,Esmiv HTTTS THESE ITEMS WERE lWERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON. Date: 12W Yes No Inspector: ?J Final grade (6" from siding) Permanent steps (gazage) ? Peratanent steps (main entry) ? Petmanent driveway ? Permanent gas Sod/Seeded grass TraiUcurb damage ? Porch ? Basement finish Deck Please verify with the builder the removal of roof tes[ caps from the plumbing system and the shut-off of water suppty to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. Whice - City Copy Yellow - Resident Copy Pink - Contracar Copy e y7 . Request Date Flre No Rough-In Inepec0an Requiretl (You muel call inspector hen reatly) ? Ins ection OlherThen Rough-In a Reetly Now ? WA1 NoUry Inepector 8/ 16 / 9 4 (? ves [ j N. oa?a Raea I 2lic s d co tractor ?owner hereby requast inspection of above electricat work at: Job AdGr • or RaNe No.) -46-77-Bristol Blvd Gity Eagan Section No, Township Name ar No Fanpe No County Dakota Occupenl(PRINVT)QPqffi mmXR?1itR$ Scott Leonard eQ P??BN?. 454-7992 Power Suppliar Dakota Electric Atldress 4300 220th St. W., Farmington Eledncal Contranor (Company Nama) Joos Electric Co. ConVecror's Licensa No. CA 00961 Maibng Atltlress (COnlraciw or Owner Making Installallon) 3980 Beau D' Rue Drive Eagan, MN 55122 Authonzed SlgnaNre (COnlractodOwner Making Insta ion) Phone Number 688-6180 MINNESOTA STATE BOAND OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grigga-Mltlwey Bldg. • qoom S•128 BE ACCEPTED BV THE STATE BOARD 1827 Univenlry Ava, 8t. Peul, MN 65104 UNLESS PROPER INSPECTION FEE IS PhoM (612) 892-0800 ENCLOSEO. REOUEST FOR ELECTRICAL INSPECTION EB.00901 .Qg , 01- See Instructions for comple0ng ihK Iwm on back oi yellow copy. l(p "X" Below Wbrk Cov'bred by This Request ?•x? e A Rap. Type of Building Ap liances Wired Equipment Wired g Home X Range Temporery Senice Duplex Water Healer Electric Heatin Apt. Building D er Load Mana emeM Comm./Industrial Furnace Other (S eci ) farm Air Conditioner Other (specity) Coniractor's FemeNa' Compute Inspection Fee Below: # Other Fee # Servica Entranca Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Am s 0 to 100 Am s 7ransformers Above 200_Am s Above 100 -Am s Si ns InspectoYs use onN. TOTAL Irrigation Booms $04. 50 S ecial Ina ection Alartn/Communication THIS INSTALLATION MAV E OR R 41SCONNECTED IF NOT Other Fee COMPLETED WITHIN NT I, the Electrical Inspector, hereby that the above inspection has been made. Rough-In ??a? oateV -Y?Z ?o A oata ?G^ , c7 'f OFFIGE USE ONLV This request vatl 18 monNa hom V"b 2007 RL SIDENTIt?I. BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New comwaem Reauae?na,ls RerroeeuReoev ReaWremenia -3 regiSterBO stE wrveys slWwing Sq. R. oF lat, Sq. fl. OF hWSe; and if( mofed areas 2 toples Of plen shwmig f0otlngs, 6eamS, lolst5 .". (20;bma+drtwm IM coverage aDa,ved) 1 se! of Eneigy Calculatlau ta Iroaled addlfions t S?s Repal'd paposed build'eg "s to 6e daoad an dishubed 5a1 7 site wrve? for a?ilb? 8 deda "f'r?u2 ?P res d Dlan showin! 6eam 8 whdvx sizes; Dmred fwntl desi9n, etc. AdU'Non-fndkafe il on?fe sePtlc ?? - 1cetofEne9YCelaila6ona . - 3 copies NTree Preservadm Plan H bt platted aMaz 711193 fl5m Jdst DetaiI Optiore selectim slieel (buildings x5N 3 ar less units) Mmnegasco mecharocal vai61a6on Porm Plans are considered public information unless vou state thev are trade secret and the reason. Date & 12 / 11 l 20Dq Coos tru Mion Cost u> B? Site Address r `? \ 1? 12'S 61 ? 1 J d• UniUSte # Descriptioo of Work Molti-Family Bldg _ Y? N Flreplace(s) _ 0 _ 1 _ 2 Property Owner S&j Telephone # (6 S"j ?- L'9 ?' S W ?• "'(/ d'*? ?C ? ?r ? : ? ? ? `? ?e Contractor , I + . Address ?Aq& 5? C (r.'dh -D/Z - CitS' (l-4 l(P/ State N UU Zip Telephone#(?SZ_) g?II '3`{6 L) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code CategOry , Residentlal VerRilation Category 1 Worksheet • New Energy Code 4Vatcsheet (J submission type) Submitted Submkted . Energy Ernelope CalcuWtlons Submitted In fhe last 12 monfhs, has the City of Eagan issued a permit for a similar plan based on a master p6 n? _ Y _ N If yes, date and address of masier plan: 1UnJ Licensed Plumber Telephone # ( ? Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 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 approve?t?n ' case of work which requires a review and approval of plans. / ? _ qt (p ?w ? °'? o,-? ??vt- 1,4 f(es) ApplicanYs Printed Name CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: B'uildin4.eermit Type SF OWG iiui`lding Wb?, Type NEW UBC Occupancy. R-3 M-1 Construction Ty e V-N Zoning R-1 Buixding Length 58 Bui2ding Width ' 31 PERMIT TYPE: Permit Number. Date Issued: 4667 BRISTOL BLVD LQT: 27 BLOCK: 1 WESTON HILLS P.I.N.: 10-83750-270-01 ??-- ag3?8 ,7` BUILDING 029@43 07/14/94 DESCRIPTION: 8,?3-1ding stories2 r 10>. PERMIT ??? (0; czagan REMARKS: PRV 5& W PLBR - R C PLBG FEE SUMMARY VALUATION Base Fee Plan Review Surcharge SAC 3AC % SAC Units Subtotal $2,137.35 $137e000 MISCELLANEOUS $1.628.50 Total Fee $3,965.65 CONTRACTOR: - Applicant - ST. Lzc. OWNER: SONS CQNSTRUCTION 145247210002608 SONS CON57 12092 SAFARI PASS 12092 SAFARI•PASS APPLE VALLEY MN 55124 ' APPLE VALLEy,' MN 55124 (612) 452-4721 (612)452-4721, ? ?- -- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ?r I hereby acknowledge that I have read this application ?and state that the , informa.tion is corrvect and agrexe to oomply uith all-app',?icable :atatis of Mn. Stetutes and City af Eagan Urdi:nances. r APPLICANT/PERMITEE SIGNATURE ? ?- IS UED GNATURE INSPECTION RECORD SITEADDRESS: Lor: 4567 BRIS70L BLVD WES70N HILLS PERMIT SUBTYPE: SF DWG PERMITTYPE: euzLoiNs Permit Number: 0 2 4 0 4 3 Date Issued: 0 7/ 14 / 9 4 APPLICANT: 27 BLOCK: 1 SONS CONSTRUCTION (612) 452-4721 TYPE OF WORK: NEW INSPECTION FOOT2NGS .. . FOUNDATION .• FRAMING ROtlFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG I FINAL PLBG FINAL REMARKS: PRV I-- - - - - - ? I-- - - - - - $769.00 $999.85 $68.50 $800.00 100 1 S& W PLBR - R C PLBG - - -- - --- - ------- ??? ` CITY OF EAGAN '?v 1994 BUILDING PERMITAPPLICATION ? 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, 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 ?O Valuation of work Tn- m?- l3 Site Address: qG(o 7 ? h?Tl`o STREET SUITE i! Tenant Name: (commercial only) LOT BLOCK I SUBD FP• I• D. # Descri tion of work: The applicant is: ? Owner ? Contractor ? Other (Describe) Name SD ?? (2pn 3,- Phone Property LAST FIRST Owner Address I 1 u9 ? StiFtin. f SIREET STE p City A?,? l 0k1 State ?h ? Zip S S?Z Company SQn s Phone Contractor Address a05y -`?AFA/Ll f'hSS License #2619? Exp.3 City A 1e State ?IiJ Zip Company S j Ua/, f'r, i? r Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber ?PL i, t,, ?iId? . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read t' application and state that the information is correct and agree to com 1 with all a licable State of Minnesota Statutes and City of Ea9an Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging tg 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 03 SF Addition O 08 8-Plex El 13 Garage/Accessory ? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE U 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair p 36 Move GENERAL INFORMATION Const. (Actual) ? (Allowable) UBC Occupancy Zoning N of Stories Length ? Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS O Site O Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance 03 Footing XJ Final ? 16 Basement Finish O 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish // MWCC System _? ??6 ./ City Water ? ? PRV Required Booster Pump Fire Sprinkler Census Code io 1, SAC Code Census Bldg Census Unit Assessments M Frami ng O Draintile 0 Insulation PI Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Oed. Copies Other Total: SAC % SAC Units v.iuatso,: g aop lo_l, Po?w /!d 5??k0 ? 0?33a- ? ?-?? - yo,t e7, F = 7/a S"k )7 dr,,?d.?f = y?v ? 3 7 avv 4 ** * PIONE1lFt * en neer *` * * * Certificate of Survey for: 2422 Enterprise Drlvp Mendota Melght9. MN 55120 ? • ? ?? (914) 681-1814 FAX:681-04B8 L^x°S°Aae "p°'°ncTY 825 Highwoy 10 N.E. Blolne, MN 55434 (612) 783-1880 FAX:783-1883 SQNS CONST. 4667 BRISTOL BLVD_ C- 711?sy , . PkOPOSED CRAp¢s SHONN PER cknpiNG 7UN BYt PR06E NOTE; BUILDWG OIMEN510NS $MOIk! ARE FOR HORI20NTAl ANO VERIICAL LOCA710N OF 51qUCTURES ONLY. SEE ARC1tITECiUAL PLANS FOR 9UII,pING AND FOUNDATIDN pIMEYJ510NS NpT[; CONiRACTOR MUSi V(qIFY DRIVEWAY DfSIGN. ?-? .• THIS CCRTflGATE DOES NOT PURp01tT TO SHOW EASEAIENTS N07E; NO SPECIFIC SOILS INV£STICAIIaJ HAS BEEN COMpIfTEp ON 1}IIS aTMFR TMAN TMOSE $HONN ON THE RECOADEp PlA7. LOT 6Y THE 511RVfY04. THE SUITA61LIry OF SOILS 70 SuPPpRi THE BEAry1HCS SHONT/ AR[ ASSUMED SPeCIFlC HWSE 7ROPOSEp IS NOT T11C RESPONSIBILIiY OF 711p SURyEypR, x ooo.up Denotes Exlsiing Elevation ( ooa.oo ) Denotes proposed Efevotlon - Penotes Droinoge & Utillty Easement Denotes Drainage Flow Diractton --f-- Ocnotes Monument Danotes Offaet Hub ' LoT 27 , sLocK , DAKOTp COUNTY, MINNESOTA PROPOSED MOUI FI FyATIOhL Lowgst Floor Elovation; Top o( Block Eievatton: y y .? Garoqe Sleb Elevotlon; WES70N Hll.L$ yie nareoy ;erU/y tnpt ihis e?r,ey, pion er .o,+ort wac Dreporvd ey me ar under my dkeet aup ia-oD or.n m4',1 om Quiy reglatertl 49pd Sun pr .,der ine 19x3 af the Slale of Minnesotp. Dated (NS ?1Kdcy of ?UNE q,0. 1994 . \ 516NE PIONEER ENG)NEERIN A. Sca(e: 1 inch = fee?t ?..ti, ...,..._.?..._,.. Joh'n C. Laraon, l..S. keg. N0. 19828 -----?? ? S0'd * P10111eEA ? en0 nee? * (t431,1? 9.1 106 S4NS _ .CONST.. _ _ : .. \13'. Certificate af ?Survey for: 4 ? a to 0 0 ? m z l / LITY G ? 5 PL AT 94Q6 k I ? / .. i A RAGI 944 k_ ?= ? J5 J ? ? ? ti ? ? 931.1 (q31 .i) M ? Q M sao.s ? t ? N \ N ?\ _ ? Xz ?.? W ' 947.1 26 BENCH MARK ? TOP OF FiUB _ EZEV.=945:84 ?t13`l.l 1 l 9405 x 85.00 $'r.J'30'rJ2'30"YV x9434 939.4 941.2 942.2b 0 M M ?I _ BRISTOL - 60ULEVARb ? Scale: 1 inch = 3o feet 93I97.01 2 -- - - - - - - - - - - - - - - 28 'Y (612) 881-1914 FAX:681-9468 LAND wRYE7cRi • CML ENGMEEAS uNO vurmcxs. w+nscue Anmticcs3 825 Hlghway 10 N.E. Blalne. MN 55434 (612) 783-1880 FAX:783-1883 ` , GITY D6IGNATED POND # LP-27.1 IV t,J L 930. W 'O N L q s s 27 I ? ' £DGE OF POND ? u PER PLAT I 939.8 / x 9 C°N 1 9 ? 940.13 ? . ? i 48.0 941.8 Y ' / PRO?iOS£D ? w t- ? ?n 5.6 7 HOUSE .xo M w= q ?ml %N ?h 942.5 , ? 7.0 33 iENCH MARK V ? I 1. .? 9,? ? PROPOSED bP OF HU ? r - DRIVEWAY 1XV?942.17 ? 100 5 5ERVICE o INV.=9308.,. ? c ? W ? m ?'''0 ? • p . ? ? o • 0- o o • g?Q 0 • Q?'? 0 • 8?'0 0 • . tde?0 0 • LOT BURVEY FOR RESIDENTIAL BIIILDING PERMIT APPLICATION PROPERTY LEGALs s. l)a . c Registered Land Surveyor signature and company Suildinq Permit Applicant Legal description Addrees North arrow and tmr scale House type (rambler, walkout, split w/o, split lookout, etc.) Directional drainage arrows with slope/qradient k. Proposed/existing sewer and water services Street name Driveway entry, ELEVATION6 Existina 0? 0 • Sewer service ar?0 0 • Lot corners 2''0 0 • Top of curb at the driveway $^p ? • Elevations of any existing adjacent homes Yrooosed ?? ? • Garage floor ? 0 ? • First floor ? o 0 • Lowest exposed elevation (walkout/window) 0.? C) 0 • Property corners ff? p ? • Front and rear of home at the foundation PONDING AAEAB !if aDnlicable) e' ? ? • Easement line El D C3? • NwL 0 0 C? • HwL 0" ? J] • Pond # design p grp • Emergency Ove pIMEN8ION6 ation rflow Elevation ? 13 . 2' 0 0 • 0' C) 0 • E?10 0 • D 0-'0 • October 1992 I,ct lines Riqht-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs grester 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 exfstinq homes Retaining wall requirements, if any Name Date of 8urvey: ???QT 2 WVE Da/1 i $p(1 E1EV. 4 PL U0.71 . . 6' H'/OFtANT tT.Er o1P , S'Xbr 7EE 120' ? I ?--- '9 rv ? h:r2 ?_, ; ?Sq I? 23 W V E 0+91 ELEV. (d Pl 960.81 WVE 2+59 SAN ELEV- @ PL 937A7 ? 3 ? ?D r N? N? ? r' a? 211t6BEND 8= .n 24 W YE 0+15 SAN ELC V UD pL 939.12 25 W V E 2+52 SAN ELEV. !ai PL 936.67 4 WYE 1+73 SAN ELEV. @ PL 934.06 3 5 WYE 0+86 SAN EL0• j&? Pl 931.08 - . w 26 WVE 1+70 SAN ELEV. Ca?) PL 933.89 582' 4 6 W YE 2+70 92825 SAN ELEV. @ Pl g- }IYDRANT 11'-6'01P g•X6' rEE ENIERGENCY 27 wre o+a3 SAN ELEV. @ PL 931.00 1 r z(r - -I i 1 2 V ]W ELEy.938.5\?_x c ' 20 ? WYE 0+05 SAN ELEV. @ PL 920.50 L ? KWL ? r ! POND LP-27. POND DATA BOTTOM 925.0 NWL 930.0 HWL 935.0 3 100 FEET NORTH OF CUFF Rp, ON EAST SIDE OF T.H. NO. 3- ELEV. 931.60 .............. . . :............................:...........................:............. ..............:............................:............................: ........................... ......... ...... ......... : ........................: ................ ...... . ..... ...? . . . .. . . .... . . . : ......... ..... . ......... . . .. . .. ............ ...................... . .: .; ::.y. ::::::::::::::::::::;:::::::::::::::':'.:::::::::;....._.... ...... ....: :.::.:::........ .......... ................... ..::..... .::: ::: :.:.:: ;::....... 1. . M??:?:d:: ". ?..... ..... ? ........... • .......?....A ............ ................................... ,. . . ; ..?.....::?....:1?. . ......... : ....... .. . . • ....,,..,..,.,,. ;......... ......... ..:...........?rw.....t.?.n.?.................... :....................... .....:... _........ ...... _.;.... .. _......... ... : ............. . .STA. ... .: ........ . . ......... ....? :........ ..... : ... ..... :......... :......... . ....... . • ......... • . ............. ? ...... . ........ ' ... .....;?..... ......:.. .. . . ................ ..:............ .. ................1........... ..... ................J..;.............. ... ............ ?..: ............... ..................:......... ................ ..:..... ........ ? ? ................. ..:...... .:.... .................... . ._............ ............. . :. . ...........! ........... ... . .... .. ..........?.. ? ..... . ? ... ..... :... .. .. +?- . ........ ........ ........ ........ ........ ........ . . .. ........ ..... . ........ ... .. . .. ..... ......... ... . ... .. . .. : . .... . ........ ... : . . ... .. ....... ... ... ............ ....... ........................ ..... ; ...... .... . .. ..... :.. . . .... .... .. . ..... ... . .... ..:................. ........ ... .. .. ........ ..... ................. . ... . ;.......... .. ..... .. . ........ .?...?..??..?..?...?... .??....??............... ... ..... ; . ..... ..... .. .. . .... : . ...... .... .... ... . . ...... :.. ? .... :....... ... ; ... ......... ..... ..... .....:.......... _ .. . .... : . . ... .... ....._ .. : . : ... ..:...... . : ........... ............ .............................:.... . .........,.. . ....:....... ................. .... ..... ;............. ..................................... , . ................ ? . . ? . . .................... ...................................................._............................................... ....... . ..... ...... . : ..... . ......... . : .. . . .. ............ ..... .........._ .... _ : ? ............ .. ... . . ....... ......... ...................._??. Z. . ... ? . : . ...... ? ? . . . . .. _ ............ . ........__...... .. _ .. . ; .. : ' .. .. ? .. .. : .. ..... ....:......... .......... ... . ... . . .......... ?. :.... ........ ....... ?. ..... ... . . .. ....... ... . . . .. . ..... . ? . .. :. ............. . .:. :.. ......... ..... ....w- ? . .. ..... :.. ... ;......... . .. ...?. ?d. ......... . .. . ......... ... ....................... :.. .. . ? .............. .. .!? .......... . .. . .. . ?....... _ ...... .?......? . ~ . ..... ....... ...... .......... ............ .......... .... ....... ....... . ........ . ............ t...... ................. ......... ......... :.... :.., .. ... ................ . .._.....? :. .?..?.?.....? ? il i ? I, ? ....... ...... ...... . :.. .. ..... t .............. ....... ... .... ....? :.? ?:$' . : .. . . ..... .. ...... . ..:....TOP•936-SZ.... ;..._..:........, . ? . ..... 2' #iCP . .. .... . . .... . : ....... .... ............ .... :.... ... . . . I?? s.OP%... ....._... ._ :... , ..... ? .... ...... . . ... .. . . . . : ... . .. .. N .... M ?,. . . .. : ... ... . N. .: n. ... .... :.. . . . ' : ?.... Q.... .: .? . ..... .. : .. . . ... ........ ...... .. . :............. . ... ..... , ' u!.•-. . ...: ..?. .•t?rnc7.]Cl1 "?DP ' Z .. ... .. ... .... .. .... . ^^'I EXTERIOR ENVEIOPE AVERAGE "U" COMPUTATIDN `_. OWh1ER: 4-". tE`"? t - ' 'E ADDRESS: >`6-- ??WESTWOOD" (( IF? .?'i'k 4., a ? CONTRACTOR: DATE:?--;??? --'7-'°-PHONE: DETERMINE 4i0RKING SOUARE FOOTAGE OF EACH: ?OTAL EXPOSED blALL AREA, , , , , , , , I !0 2 8 sq f t x "U" .11 .'.. TOTAL ROOF/CEILING AREA,,,,,., Sy ft x"U" .026 . 30,57 i. TOTAL EXPOSED 1JALL AREA CALCULATIONS: Total exposed wall area a6ove floor,,,,,,,, ?Ca'L8 sq ft a) Total wall window area: glazed,,,... I `'L sq ft x"U" ,43 . 48.1(0 qiazed,,,,,, b) Total door area ,,,,,,,,, 40 c) Total slidinq qlass door area: sq ft x "U" _ sy fc x"u" 9lazed...... 60 sq ft x"U" .Sq = 41.20 qlazed..,... d) Tota) flreplace wall area e) Total wall framing area (Averaae 109.)......... I 1 5 f) Totat net wall area above ftoor (Insulated)..,.... ? 0115 q) Total rlm )oist area..,... I5 4 Tota) foundation area (Exposed).......... h) Total foundaLlon wfndow area ............. sq ft x "ll" sq ft x "U" e sq ft x "U" .10 = ( p sq fc X"u" , 04 = 4?•4-0 sq ft x ??U" sq ft sq ft x "U" i}I Total net foundation area above qrade...,.... sq ft x"U" y• '? y 8 TOTAL a) thru I) . 1?4,94 If item x3 is the same as, or less than item P1, you have met the intent of 2; iCAR 1.16008 A and 0. Page 1 A. TOTAL EXPDSED RQOF/CEILINf CALCULATIONS: Total exposed roof/ceilinq area........ l1 7(a sq ft J) Totai skylioht area....... sq ft x"U" k) Total roof/cellinq fram{ng .c e 3, area (Averaae 109.)...... 11?8 s4 ft x "U" 2 "t 6 1) Total net Tnsulated 2 539 roof/cei l inq area....... 10 5? sq ft x"U" 4 TOTAL J) thru 1) Z$ •?? If total of #4 Is the same as, or less than N2, you have met the intent of 'L MCAR 1.16008 A and 0. I A4TERNATE BUILDIPIG ENVELOPE DESIGN To utilize the total envelope system method, the values establ(shed by the sum of ttems H3 and #4 shall not be greater than the sum of items H1 and 02. I . + ?. a 3. + 4. ° C E R T 1 F I C A T I 0 N I hereby certify that I have calculated the "U" faetors and "R" values heretn and that the buildinq here described meets or exceeds the State of Minnesota Energy Conservation Act. ? -tMqnature) / °_ C) (Date) ? Page 2 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-83750-270-01 PERMIT W441l PERMITTYPE: BurLorNG Permit Number: 0 2 5 4 6 5 Date Issued: 0 4 j 2 7/ 9 5 4667 BRISTOL BLVD LOT: 27 BLOCK: 1 WESTON HILLS DESCRIPTION: REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: SONS CONSTRUCTION 12092 SAFARI APPLE VALLEY (612) 452-4721 Type DECK 4,uilda,ng Wq`)r.k Type NEW b 7? - Applicant - ST. LZC. 14524721 0002608 PASS MN 55124 OWNER: SONS CONST 12092 SAFARI PASS APPLE VALLEY MN 55124 (612)452-4721 'IYU" Z hereby acknowledge that T?haJe read tfi3s applicati:on',and?state that ttie ? ? information i5t correat and agree to aompl,y vitk all applid.aIble 9taCe of Mn ?. Ut.@5- dflCj tY.,?'?.,!E3qF1Yf ?6IJ?I'dfF7,?.?'6 . _. . 'A € ? . - . ?.._._ . _ ..,....__........._i.. // _ ? . _ ... .,x,.,. . ,??._.? _._. __ ._a?_._ _?.?_ ...m?_ _ _........` _....?_?._e.......... . ?,..._.. _ _ _ l '9(` SIG T R? 'APPLICANT/PEFiMIT SIGNATURE ? ISSUED T. INSPECTION RECORD Cl.TY OF EAGAN PERMITTYPE: BUTLDING 3830 Pilot Knob Road Permit Number: 0 2 5 4 6 5 Eagan, Minnesota 55122-1897 Date Issued: 0 4/ 2 7/ 9 5 (612) 681-4675 SITEADDRESS:P•I•N.: 1e-8375e-270-e1 APPLICANT: L07: 27 BLOCK: 1 4667 BRISTOL BLVD SONS CON3TRUCTION WESTpN HSLLS (612) 452-4721, f7 ? • ?? •? ? :' [. - ? L b i PERMIT SUBTYPE: TYPE OF WORK: DECK NEW ? CITY OF EAGAN ?3 O•? a ? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 ? 3 repisterod site aurveys ? 2 eopies oi plan • 2 eoDiea of Dlans (hiclude beem 8 window sizes; poured fid. design; Mc.) ? 2 ske awveys (exlerior addfions 8 decke) ? 1 energy celalationa ? 7 energy calalatlans Po'r heated additions ? 3 copies of tree pretervadon plen ff lot platted after 717/93 ' raquired: _ Yes _ No I DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: 3 ?`-P??L BL'0 STREET ADDRESS: LOT -L-j_ BLOCK -_J_ SUBD.IP.I.D. #: PROPERTY Name: 5;? Phone #: OWNER 5treet Address• City: State: Zip: CONTRACTOR Company: 56),15 C0---/S1'4Wc?7014) _ Phone #: Street Address: I?OQo2 .??2R i15iS License #- City: 41 V ? State: Wjo() Zip• as?. .4. ARCHITECT/ Company: Phone #, ENGINEER Name: Registration #- Street Address- City: State: Zip: Sewer 8 water licensed plumber. change are requested once pertnit is issued. Penalty applies when address change and lot I-hereby acknowledge that I have read this application and state that the information is corteot and agree to compty wkh all applicable State of Minnesota Statutes and City of Eagan Ordinances. , J?"?" _ Signature of Appliqnt: ` OFFICE USE ONLY RECCNED Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _----------"" OFFICE USE ONLY BUfLDING PERMIT TYPE 0 01 Foundation o 06 Duplex 0 02 SF Dweiling o 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch ? 09 12-plex a 05 SF Misc. 0 10 _-plex WORK TYPE ,0?81 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS 0 11 Apt./Lodging o 0 12 Multi Repair/Rem, o 0 13 Garage/Accessory a 0 14 Fireplace o 40?--15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main levei sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Engineering Variance Permft Fee Valuation: $ tZ °° ? Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit . S/W Permft S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. aner Copies Total: ; 149 '"?`?'' •?"?c; M? +?• 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. y3 y SAC Code 0/ Census Bldg Census Unit o °k SAC SAC Units - , , , ? 1 GITY UESlbhATFD PUND #'i.P-27! ? , i y ? ? 27 Ir1 Z ? ' 28 I ?-- \ ?f.DGE UF PONG t ? } PEk Pl AT ? / i ? g? DRAINpGE a UTILITY 5 FAEkMENT PER PLAT ? 9 39.8 F 9406 ? . ? p 1? Ff ? J ?rT . ? M? ?us 94l Q:?•.?j? *9A2.3 i 940.13 „? _ ? n 42? ? 9418N r009 n ? ??LL? ti p? In x5,67 HJUSE GARAGE O\ M N 7F1 - C' Q j 2i) R ? fn ?'I x yj\ . X E( 9 4J ; ? . ? I ?, 4 9 l /-r; , D I BEiJCH WIv3K FkOPGSE iV uav TOP OF NUB oR e ELEV: 942A7 p SER:'ICE ? 5 LV.:93GE?? -- -..,_ M ` i _oo.ti)" M ti 6 ? z .? 931.1 ( .l a)l J / N (D M Q U) T 340.5 co ? •1 ? ?N .. C4 n•?, Wx \ . 947.1 C.? '- `-?dENCN M4kK ? TGP OF NU8 E iEV.=945:84 f`t4 ? 940.6 8500 $53°52?30 ? W "943.4 ---• 439_4 941.2 932.?, 6RISTOL; __----- BO.ULEVARD„-----_- Sca1e; 1 inch = 30 feet Li j31$7.01 ? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. VI NEW CONSTRUCI'ION _ ADD-ON A/C _ ADD-ON FURNACE FIREPLACE INSERT DATE r!I/ & I q `I FEES HVAC: 0-100 M BTU $ 24.00 ADDTTIONAL 50 M BTU 6.00 GAS OUTL.ETS (MINIMUM 1@$3.00 EACH) , zDo ADD-ON/REMODEL (EausrnvG CoNS[RUCrtoN) $ 20.00 STATE SURCHARGE .50 TOTAL 27_ ro SITEADDRESS: v(t?61 a1?, STo iJOLd _ OWNER NAME: SoNS ? a?sr TEi..EPxorE#: y sZ- y7-2 I aDDREss: 3 2 S'S i 315'r ./,v CTTY: ?D ?2 v-,-T STATE: ZIP CODE: S-Sb6? . ., TELEPHONE #: '/ 2-3 - 3 YO ? SI? URE OF P RMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) C1TY OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACg TOTAL ? SHOvVEt2 3.00 WATER CLOSET 3.00 ? BATH TUB 3.00 31- LAVATORY 3.00 /a_ - _L KITCHEN SINK 3.00 3. - LAUNDRY TRAY 3.00 31 - HOT TUB/SPA 3.00 ? WATER HEATER 3.00 -?- I FLOOR DRAIN 3.00 3: - GAS PIPING OUTLET • minimum - t 3.00 3.° ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dek.cry. rc. 20.00 U.G. SPRINKI.ER • nome under const. 3.00 ALTERATIONS • to tAiming 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: 7 P? SITE ADDRESS: 4667 Bristol Blvd OWNER NAME:_ Pnns (`,onstrur.ti an INSTALLER:_ R C Plumbine ADDRESS: 5910 Chester Ave CITY: Northfield STATE: Mn ZIP CODE: 55057 PHONE #: { 612 461-2096 12 GLf O k SIGNAT R OF PERMI EE 1994 PLUMBING PERMIT (RESIDENTIAL) C1TY OF EAGAN 3530 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4667 Bristol Blvd Lot: 027 Block: 001 Addition: Weston Hills PID:10- 83750- 270 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Fee Summary: Valuation: 2,000.00 Contractor: Seta Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823 -8046 PERMIT City of Eaan BL - Base Fee $2K Surcharge - Based on Valuation $2K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: $1.00 9001.2195 $69.00 0801.4085 $70.00 Owner: Abdi Husen 4667 Bristol Blvd Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature Building EA074317 07/17/2006 ePermit Comments: Pictures are not acceptable in lieu of inspections. Brenda Van Sick le 4100 Excelsior Blvd St Louis Park, MN 55416 952- 915 -7226 brendav @sela roofing.com 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA112134 Date Issued:07/30/2013 Permit Category:ePermit Site Address: 4667 Bristol Blvd Lot:027 Block: 001 Addition: Weston Hills PID:10-83750-01-270 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. brian kuhn 8049 Lower 147TH ST WEST 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 - Jamat A Husen 4667 Bristol Blvd Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r-----------------1 I For Office Use I Permit #:CIX l~ Cl of E*R I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: I Phone: (651) 675-55675 I I Staff: Fax: (651) 675-5694 L - 2013 RESIDENTIAL `PLUMBING PERMIT APPLICATION Date: C S Site Address: Li U 0 1 ?o J tO t 7 '~j Tenant: , -i( cL -k ~A ~ -Ifs Suite M Name: 3CUMCi - id LA k n Phone: US k Resident/Owner Address/City/Zip: ,DL~I irlStUt 1`~~y~ Fac,ar, rat-o SSI t 4 ~~"1 1 ~/UC. Name: - c yp 1 V a l l &co \NCkA e( License* 9 E ~ ~ Contractor Address: 0-0 it CRY: tj LA6,~ 0 , Phone: 1 State: VQT. Zip: GI 1 - 1 Contact: 3 i m Email: Type of Work -New _Replacement -Repair _Rebuild -Modify Space `Work inR.O.W. Description of work: rn J) RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ / - PVB) Permit Type :j Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES. $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) i $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.aopherstateonecall.org 1 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 appro val o lans. _i l J x 1 q 1~zl X , LY L~ Applicant's Printed Name Applic is n u FOR OFFICE USE Reviewed By: Date; Required Inspections: Under Ground Rough-In Air Test Gas Test -Final Use BLUE or BLACK Ink r-----------------+ I For Office Use " I Permit a I City of Eano~dn I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Phone: Name: 0, ~ A Hc-~.n Resident/ Owner Address/ City /Zip: ~~(07 l2l 5- a & ~~✓D I Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: © Multi-Family Building: (Yes / Nd Company: L"i G.b ~.~>oa~ GranyT ~'n/c, Contact: Contractor Address: City: --rgiR.1 State: MftJ Zip: JJ Z 3 Phone: ~cX 2 License 3li t 3sr t®f Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A ,NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: j Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of P the information may be classified as non-public if you provide specific reasons that would permit the City to r 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.Qopherstateonecall.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 Building Code ust 4comleted within 180 days of permit issuance. Applicant's Printed Name Applican s Signature age of -3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA127299 Date Issued:09/26/2014 Permit Category:ePermit Site Address: 4667 Bristol Blvd Lot:027 Block: 001 Addition: Weston Hills PID:10-83750-01-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Thomas Joshua Peine 780 Iglehart Ave St. Paul, MN 55104 Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Jamat A Husen 4667 Bristol Blvd Eagan MN 55123 Urban Pine Plumbing & Mechanical 780 Igelhart Ave St Paul MN 55104 (651) 888-2275 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165486 Date Issued:11/03/2020 Permit Category:ePermit Site Address: 4667 Bristol Blvd Lot:027 Block: 001 Addition: Weston Hills PID:10-83750-01-270 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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. When a weather barrier is installed or 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 - Jamat Ahmed Husen 4667 Bristol Blvd Eagan MN 55123 Wildwood Construction 4703 Bristol Blvd Eagan MN 55123 (612) 369-1422 Applicant/Permitee: Signature Issued By: Signature