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4719 Weston Hills Dr Address 4719 wESmrt RHI,s n-UvE Zip 55123 ~ . . Lot 16 Blk 5 Sub WESmDi HIIi,s ZDID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: ',S Final grade (6" from siding) Permanent steps (garage) ? Permanent steps (main entry) ~ Permanent driveway ~ Permanent gas ? Sod/Seeded grass ~ Trail/curb damage Porch ? Basement finish Deck Ptease verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freexe potential exists. Contad engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Conuactor Copy . f .a. 1 Wertificate of CcculpancV Witi) of Cfagan Ztoartutut of t.db* 3w#pectiox _ This Cerfrficaie issued pursuant to the requiremeRrs of the Uniform Building Code certifyireg tirat at the time of issuance this structure was in compliance wrth the various o?dinances of the City riegulating 6uilding coastruction or use. For the following: Use Qassification: SF MC Bldg. Permit No. 72677 Oceupurcy Type R3M1_ 7aning D'auict R I Type Cnrtst. VN Owoer of Building SM r'ob= ,4ddress Building Addness 471Q Lll?CIl'?J HfT7 CDR]3X Lucaliry nace• BWWing OFtiEiit POST IN A CONSPICUOUS PLACE ~ . . INSPECTION RECORD ~CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: " Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION l~ ~ ~ PermFt No. Permit Holder Date Telephone k SNV PLUMBING I D~7 yGc,- HVAC t~~Q ~ J 3 O1 ELECTRdg~ ELECTRIC Inspection Date Msp. Comments Footings I ! Foundation U/ Framing Roofing ir Rough Plbg. Rough Htg. ~ Isul. Fireplace Final Htg. Orsaf Test Final Plbg. l~~al Plbg. Inspector - NotiTy Plumber Const. Meter EngclPlan Bidg. Final Dedc Ftg. Deck Rnal Well Pr. Disp. IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: N', 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: " ' ; " r' ' T `v , APPLICANT: t t) 1~~ L+ L!) t F i. 1.1t ~1~tN H71I•; I~It c;~~i,it:,ii [iAV.lf1 I It . 1 ~~h7 II I 1 ~ 'tll~ , ~ 1 1 it~: PERMIT SUBTYPE: TYPE OF WORK: 1.:t ,r hINI 11t4t ,1i r,i ti fr~~ R,~ri INSPECTION „ . D. ! NliM 1 NIf l N.lil r, I IIIfa i"till1011 1N !'1 I:~, f! N llf 1 HI`MAk6e; '-F ?'Nl:H11 I 1 f:Ml 1 l'. f~f k.41111'i 4l ! il;, f,F1',' 1'1 IIMirlr4(, I+i4 1 I 1+ IIrTt,AI W(litk F L ~ PermR No. Permit Holder Dste Telephone M ELECTRIC 73~ ~ QO ~ PLUMBING HVAC Inspectton Date Insp. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH q ~ HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ti FIREPLACE ~ AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BldCi FINAL BSMT R.I. BSMT FINAL DECK FfC~ ~ i ~Zlb/97 ;An ~ ~ WOW0427 i - ' ' O~W3 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Z I I0 BORMAN, DAVID 4719 WESTON HILLS DRIVE Site Street Address EAGAN, MN 55123 Ulllt # i (651)452-0208 Property Owner .-.lephone # ( ) . Contractor (612)$27-4033 Telephone # ( ) Address 2905 City State Zip A The Applicant is: _ Owner WContractor _Other Alterations to ezisting dwetling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Y- Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State SLreharge $ .SQ Total $ IS.SO I hereby apply for a Residential Plumbing 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 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 and approved. Je~ 1~~~b~~ ~ ~ppp Applicant's Printed Name p Ys Signature J ~ 3y 55 RESIDENTIAL _ BUILDING PERMIT APPLICATION r CITY OF EAGAN I~ f ~ a 3830 PILOT KNOB RG, EAGAN MN 55122 651=(I81-4675 Naw Cone Wcfion Ranuiremants RemodeVReoair Renuiremants . 7 registered site surveys showing sq. R. of lot, sq. R. of hou5e; and all roofed areas . 2 copies of plan (20% maximum lot coveraga allowed) . 1 sei o( Ener9y Calculalions for healed aCditions • 2 copies of plan showing beam 8 window s¢es: poured found desgn, Mc.) • 1 site survey kr exterior additians 8 decks • i set of Eneryy Calculations . IiMicate if nome served hy sepfic system for additbns • 3 copies of Tree Preservation Plan if lot platted aRer 711193 . Rim Joist Detail Opuons seletAOn sheet (hldgs with 3 or less wits) DATE ~ 1 3 1 IO Z VALUATION 4"'pZ)':. SITE ADDRESS WP-S_~on 14,1k Dr> v-C, MULiI-FAMILY BLDG _ Y 4N TYPE OF WORKPovF'ON IDecL addi-h;oi~ FIREPLACE(S) _ 0_ 1X 2 APPLICANT i/~ ~C) 0 K-N aYN STREET ADDRESS L~~ S L>0 CITY Z aS7ATE My'V ZIP S_S 1 TELEPHONE #6rS 1-10 5--315`) CELL PHONE # FAX # PROPERTYOWNER ~QV~d AoO1'nqrN TELEPHONE# 10si-ys2-a2o,6 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MI.YNCSOT:1 RULES 7670 CATEGORY 1 m " . i. 7' (J submission type) • Residential Ventilafion Category i Worksheel Submitted • ~~e gp , s ~ mitted . Energy Envelope Calculations Submitted I' ~I 9 i2002 d 1 Plumbing Confroctor: _ Phoiie # Plum6ing system includes: _ Water Softener _ Lawn Sprinkler By .00 Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Phone # Mcchanical system includes: _ :lir Conditioning Fee: S70.00 Heat Recoven Svstem Sewer/Water Conhoctor: Phone # I hereby ocknowledge 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 inances. Slgnature of Applicant C I )?'i OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 OFFICE USE ONLY ? 01 Foundation 0 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 08-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02•plex ? 10 08-plex ? 18 Oeck p 23 Parch (screened) ? 36 Multi ? 05 43-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ~71161_)PF5 7ecY. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding W 32 Addition ? 36 Move Bidg. ? 42 Oemolish (Foundation) ? 45 Fire Repair C3 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ~ f Z~ 00o Occupancy 2-3 MC/ES System Census Code q3 Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. af Bldgs Length Fire Sprinklered Type of Canst VkN W idth REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ZO Footings (deck) ~p FinaUNo C.O. _ Footings (addition) _ Plumbing _ Fouodation FIVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AiriGas Tescs _ Final ~ Framing _ Siding Stucco Stonz _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newireplacement) _ Insulation _ Retaining Wall Approved By Building Inspector BaseFee 3a~- r~kiy - zZy Surcharge 3 Z`' Sf F7. Plan Review MC/ES SAC N Z/ n°o D e<« City SAC 2~, Po z c k y W ater Supply & Storage ~ S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit license Search Copies Other Total ~ CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, MinnesOta 55123 Permit Number: 0 2 2 6 7 7 (612) 681-4675 Date Issued: 12 / 15 / 9 3 SITE ADDRESS: 4719 WESTON HILLS DR LOT: 16 BLOCK: 5 WESTON HIILS 2ND P.I.N.: 10-83751-160-05 ji3 DESCRIPTION: ~ Bu:ilding;,Permit Type SF pWG Building Work Type NEW ,,-UBC Occupancjr,, R-3 M-1 ~ Construction Type V-N ~ Zon9ng R-1 Bu3lding Length C 50 ~ Building Width ~ 49 ~ Building stories 2 ~ i uo~ REMARKS: PRV 5& W PLBR - STOCKER EXCAVATIN6 FEE SUMMARY: VALUATION $168,000 Base Fee $877.50 MISCELLANEOU5 $1,744.50 Plan Review $570.38 l'otal Fee $4,026.38 Surcharge $84.00 SAC $750.00 SAC ~ 100 SAC Units 1 Subtotal $2,281.88 CgNTRACTOR: - A p p 1 i c a n t- s-r . LI C. pyyNER: S NS CONSTRUCTION 14528984 0002608 SONS CONST 12092 SAFARS PASS 12092 SAFARI PASS APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 452-8984 (612)452-8984 I hereby acknowledge that X have read thls app.Lication and state that'the infiormation is correct and agree to comply with all appli.cable State ofi Mn. Statutes and City of Eagan Qrdinances. L ~ I,n APPLICANT/PERMITEE SIGNATURE ~ ISSUED B SI UFIE' REACTIVATE _ CITY OF EAGAN PERIiT7 993 BUILDING PERMIT APPLI~CATION 2:U tt 0 1 1993 681-4675 SINGLE 6 MULT1-FAMILY 2 sets of plans, 3 registered site surveys. 1 copy of energy calcs. COMMERCIAL 2 sets of architectural E structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty appTies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, Z) address 1s chan9ed or 3) lot change i.s requested once permit is issued. Date i;L -I-93 Yaluation of rork Site Address: qqlQ WimIRn I'l Pn LTREET fll(TE / Tenant Name: (comnercial only) IAT /(5 BLOC& LSUBD. P.I.D. N ' Descri tion of work: The appl icant i s: ? Owner Contractor ? Other co..«iee> . Name Phone pfSo2-gsgC~`f Property L?St FIRSt Owner Address %'(39,2 STREEi fTE y City ~1State Zip SS'/a Company Phone `fsa-&-or~`/ COntreCtOr Address tcc7g2- License laro cle.' Exp. City ~/0410_c/4% 5tate ~v 2ip 5 9/~`~ Lompany 5°X/5 Phone AfChItBCt/ Engineer Name Registration i Address C;ty State Zip Sewer & water licensed plumber ng time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? Ol Foundation ? 06 Duplex ?]1 Apt./Lodging -?16 Basement'f'1'nish ,3 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. 0 17 Swim Pool 0 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory 13 18 Coma./Ind. ? 04 SF Porch O 09 12-Plex ? 14 Fireplace O 19 toron./Ind. Misc. E3 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck O 20 Public Facility ? 21 Miscellaneous woRK rrPe ,R 31 New C] 33 Alterations 0 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair 0 36 Move GENERAL fNFORMATION tonst. (Actual) Basement sq. ft. MWCC System ~ (A19owabte) lst F1. sq. ft. City Mater UBC dccupancy ~ 2nd F7. sq. ft. PRY Required ~ Ioning . Sq. Ft. total Booster Pump i of Stories ~ footprint Sq. ft. Fire Sprinkler length c q, On-site well Census Code ~ Depth On-site sewage SAC Lode ,(91 APPROVALS. Planning Bullding Assessments Engineering Variance REDUIRED INSPECTIONS ' ? S1te El Footing Z7 Framing 0 Insulation O Mallboard 0 Final ? Draintile O Fireplace ~ Permit Fee Surcharge 1 Plan Review Is License 3zX~a > ~ ' MWCC SAC IO.sXyS : /59.5 City SAC Water Conn. < 10.t- Mater Meter 15 +Sy Acct. Deposit IZOZ,3,~-~,y~- J9~2_S S/W Permit 5/W Surcharge Treatment Pl. Z-/~ Road Unit 3zx.70 = 9~~ ( Park Ded. ~ Trails Ded. /8 69 ; 36`/, og Copi Others `3 3 Total: SAC % r-9, sk Z " ~ ~ !)/~/,ZSrY1G = SAC Units iz,r 2 3 P.01 Y ` * 2122 Enlaprls0 Oriw uendolo Ileiqlila. UN 95120 .613) 481-1914•FoK 861-9488 iA PI~IM~i3q uirw suapcxws . aVIL owiataa __..~.s...u...u.z...-e~. .........•a.. , .:~.n...,.._._~_.. LAryp K,wHCp; . [~Np'scAp`[ IAU~rtcrs gZg lIlqhwoy 10 HaUwant * engine~ring~ 13ioine. MH 55434 * ~ * * 812) 7e3-1e80.Fox M-11eea Ce.tillcats ol Swwy lar. SD NS CoN5TRltG7' {C1 N ~pZyaAll~ 94r,6 i NOltill 9~•~/"'~ ! Z3'~Z 9~Z ~ pRpOOSEO GKADBS Pex G-{iCAbINq ~ ' 1'4AN 9Y PRoBB pNWF166FC1tJA A q 1 ~ ^ i / A\5 ~ 6~~,~ ` . ~ , I 1 5~ s 1,t> pt' ~ ~ ~a~~ : i,~ ~ r U' ~ LOT~ R EV1~~~~... 51 ,e9~~ - ~ i . .o ~Y ' c~ . I i o ; ~ • tNGINEERING DEPT. 9544 956.L a ao N ~ zl S PROP. p S ~ a~ a* W ~ uousa M ~ ~ I ~ rtna. ~ wA~k.owr ~ r? N g; , , VI K,o 419s ~1i.o 13-6 x p. „ a. 4.e ~ 34.5'1 ~ V• s3r~e+~ ?-~o.~ •fTi J S"~9.o ~qsRa \ y~ t~ K Nu~ y or or aew6wwr o ~ ~ FlEG7•~yp'1 $r,.~ Isem~oe x qc~~'0 S1. O ' ..~3'.1 /p~j•~ Op ~ -0~_ „o. ~ l µ~RU,~T _o , ~ ii - I ` 9S'lp.13-x 569 58 g 95G.'77 b` dlg M ( WESTC?N _Htu-S kiUSt NUI Pu~Wtf,lU'a11AW EAI~MIW16~o ~L'-~:5~~~' fJ IIIAII IIIUSk. SIWWIJ ()14 FilCUIlUtU PIAT. t I 1 . dWO benotea Existing Elevatlon 11901 WY!!i!W! i 06wlos PtopasoJ Elovulton Luwoal FioYr EievaUan: ?.r-Z.a - panotae Urainage !c Ulflily Easernent jop of glock ElovnUon: 999• ----~paiiulea Uralria9e Flaw Uireatlon Gornge 51uG Elevailon:~„j , ~o- penole9 Llonumenl ~~-Uunules Ofiyei ilub Bearings shown ure as§wiled 16 ~[3LQCK 5' wLtSTaN N(il:5 ZNb AbblTtoN ~ OAKOTA COIMIY. UIHHESQIA ; t1 l~wM~y c~~~Uy dut ~1113iwy. WM a Rotmm% wa ry"W bY dM W WqaMY01scltoWlvMla1 anl llut { ww Ju1y li00y161W l4W YuiviVu wµ~.~ ~i.~ pin~ ol Jl. BiaL ol ANnnliaoU. Wled th4ILiF` day ol A , yl : PIONEERE~~*~N ~ IL 1'SAPG eK1ST% 6u24S, c'GAP-Swv GS a ~.n ~4~z8 , 12-03-93 10:27PM P001 #43 ~ IAT SiJRVEY CHECRLIBT FOR RESZDENTIAL ' SIIILDING PERMIT 71PPLICATION S2 ~ YROPERTY LEGAL: ~ Date of 8urvep: DOCIIMENT BTANDARDB 0•'0 0 • Registered Land Surveyor signature and company 60'p 13 • Building Permit Applicant ' ~ • Legal description 8''0 13 D fY ? • Address 0~0 D • North arrow and bar scale M-~0 0 • House type (rambler, Walkout, split w/o, split entry, lookout, etc.) 0 • Directional drainage arrows with slope/qradient 8. P0 • Proposed/existing sewer and vater services 0-13 ? • Street name ~ ? • Driveway ELEnATIONB Existina D e-113 • sewer service tY 0 ? • Lot corners ~0 0 • Top of curb at the driveway B~ 0 0 • Elevations of any existing adjacent homes ProposeC ~0 0 • Garage floor 0 • First floor H" O 0 • Lowest exposed elevation (walkout/window) p~p ? • Property corners IYO 0 • Front and rear of home at the foundation PONDING AREAS (if avvlieable) 0 0 ? • Easement line 0 0 ? • rrwL 0 0 0 • HwL 0 ? C) • Pond # designation 0 0 0 • Emerqency Overflow Elevation DIMENSIONS D 0 ? • Lot lines 0 • Riqht-of-way and street width (to back of curb) D 0 0 • Proposed home dimensions including any proposed decks,. overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) D D 0 • Show all easements of record and any City utiliiies within • those easements ? 0 0 • Setbacks of proposed structure and setback of adjacent existing homes D 0 0 • Retaining wall requirements, if any Reviewed• Name / Date October 1992 - . fiXTBR[OR.ENYBLOPB 8N8RGY CODB COMPUTATION WORiLSH88T - 2+o Detyern+ine c]ampliance with the Minnesota Fnergy Code (Sectian 502 of the Stabe Aroeryded 1983 bjodel IIwcjy Code) PrOject Title Site Address • - - I. EXPOSED WALL CALCULATIONS AFiFA 'U" VAT.UE ARFh x "CJ" A. Opaque Wall , 1. Masonry/Concrete a. x M b. x = c. x ~ 2. Founrlat cn Wa Gt ~,1 ZS x , o? ~ 4. ~ 1 a. b. x ~ 3. WoW Fram kUU a. Insu3abad Area x„ • b4 b. Fraioirg Area (Ave. 156 at 16" oc) '-4".1 x C. Framicyg Area (AVB. lOt 8t 24" oc) x a 4. Periphera7. Floar Edge/Rim Joist ' a. 220 x .04 B. Glazing l. Wirr3ows a. x s b. ~ x .47 2. Doors x i C. Doors 1. wood a. Solid 2r~ x . O(v i 1. Z b. With starm x = 2. Metal x ' ¦ 3. Overhead x s 4. other x i D. TOTAL YAIL ARFA# scIo f t : : . . . . . . . . . . . Z't 1 P~ E. TOTAL of ARFA x'U" 2LoZ G IL 800F/CBILING CALCULATiONB A. Raof/Ce illirg Insulated Area It a 14. (a x • D Z- s157-• 2-9 B. Aoof/Ceiling Framing (Awe. 15$ at 16" x) • x a C. Rmf/Qeilirg Framirg (Ave. 10i at 24" oc) . 1`79 -4 x . o Z ~ 3• S, D. Skylight x s ~ . E. TDTAL liODF/t'EILII~ ARFA sq. £t 11,14 F. z+oMw aP AFFA Y'v 35 87 . IIL BUiLDING ENVEi.OPB REQUIRBMENTS . q+OrAL 11IiFA RZWJIIW "[J¦ ALLOWABLE . (From I.D & II.E) (Fran V.) (Area x "U") A. Exposea wa]1: x . i 1 ~ 2~l t~ . 8 B. Roof/Ceillrg: x_:. 07(~.. , . . . . _ . C. 'ioiAi. ALIAt-mBi.E HUILaIIaG IIdVVELDPE (Total of A& 8 abwe) ~4~ClZ IV. ACTUAL BUILDIN(3 BNYSLOP$ r ACTUAL (Area x "U•) A. E4066d Wdll (EtCIR I.E) ' 2Co Z. 1 b B. Roof/Ceilin9 (Fran II.F) 1~',l C. TOTAL ACIUAL BT]IIMING ENVE[DF'E (Total oP A& 8) *(Nuu co" nquirants if lsu tAan 1II.C) V. REQUiRED "U" VALU88 LAIdS IOOF/CEILING Detached orr ard tho Patni]y dwe].lirx3s .31 .026 + Multi-E`amily Residential Buildings .238 •033 (3 stocies ar less in height) * All Other Qanstructian Zypes (3 storiea or less) .238 .06 ; All Other Constructian Types (More than 3 stories) .28• .06 i Bssed m 8007 heetlny dayrw deys ("Pls/St. Psul) IW,1ust •Y' ralue; Keoedinyly for otAer localiwli f CERTIFICATION I hereby certify that I have cacQleted the above inEotmatioa atd that it oaiplies with c. Minnesota State Ehergy Code. Signature Date fl BCSD 3-89 CC/S61/6574 PERMIT ~'-&0s=&y CITY OF EAGAN 3830 PilotKnobRoad PERMITTYPE: BurLozNG Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 5 6 8 (612) 681-4675 Date Issued: 0 5/ 2 0/ 9 6 SITE ADDRESS: 4719 WE3TON HILLS DR IOTc 16 BLOCK: 5 WESTON HILLS 2N? P.I.N.: 10-83751-160-05 DESCRIPTION: °n.,Permit Type BASEMENT FINISH tldi ilding tJp.rk Type AITERA7I0N 11.~ Census Code 434 ALT. RESIDENTIAL f! ~t ' ~ REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.56 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - BORMAN DAVID 4719 WESTON HILLS DR EAGAN MN 55123 (612)452-0208 T hereby acknowledge that I have reatlthis applloatiort and state that the information is correct and agree to comply with all epplicable State of Mn. statutes a1nd Ci , ty of Eagan ordinances., ~ APPLICANTlP R TEE SIG U E ISSUED . AT FiE 1qffC4 CITY OF EAGAN ' 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ J J•`~ .J 6814675 New ConstrucLOn Reauiremenls RemodellReoair Reauirements ? 3 regislered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 6 window sizes; poured fid. design; elc.) ? 2 site surveys (exterior add'Aions & decks) ? 7 energy calculetions ? 1 energy calculatlons (or heated additions ? 3 copies of tree preservetion plan H lol platted after 711193 required: _ Yes _ No DATE: Yl'lQ~l°I°Ie CONSTRUCTION COST: DESCRIPTION OF WORK: "-31 a--~e o ' •s STREET ADDRESS: 44-71-1 ~ QS~o~ I~- ~I I S yf + VE LOT I_ BLOCK SUBD./P.I.D. PROPERTY Name: 'E) O f vA aL-, Phone ys 2-02D!3 OWNER `I"" StreetAddress. [41(l5 h P'~~lP Ci{y; o, State: m n~ Zip:~~ coNTitacTOR Company: ' Phone Street Address: License City: State: Zip: ARCHiTECTI Company: Phone ENGINEER Name: Registration Street Addre City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that 1 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. Signature of Applicant: r~,0V ~D OFFICE USE ONLY cL Certificates oF Survey Received _ Yes _ No MA~,' ;G Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY • , ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging o!r-16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Misceilaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 0 31 New ~33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y3y Depth Footprint sq. ft. SAC Code BL Census Bidg ~ Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit - S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units C CITY USE ONLY L ~ BL d RECEIPT SUBD. DATE: 7996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH tLQ. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal " Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Afterations * to existing 20.00 = Zam, u Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL 2 ti1 S O SITE ADDRESS:T~ (k h r , v<- OWNER NAME: ~ a ~ ~ ~ ~ ~ ~ me-4 V\, INSTALLER NAME: STREET ADDRESS: )('+v~ CITY: C~ a STATE: fO~ ZIP: S S I~ PHONE#: (Cn1Z )~S2 -020~ brUNA I UKt at- V OFFICE USE ONLY L BL RECEIPT SUBD. DATE' 7996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for. . all commeraaVindustrial buildings. P multi-family buildings when separate permits are ng1 required foreach dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract pnce, whichever is greater. State surcharge of $.50 per $1,000 of ~r 1 fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: -APPLICANT OFFICE USE'ONLY METER SIZE: DATE: INSPECTOR: ~a. r"~ t'..' r . . . ~ , ! ~AM1 REGEIPT L I ~P ~.BL ~ i p ' ~ ~~~~~~~`~x ~r' s• ~ 95 DATE: SUBD iic17AR~$IDENTIAL) Fw a)P. f ° ~e£ F ~~5~s.'#~~PU r~ zs RK4'D~ ' x n t v ~ * lx xi r s i t' 1 ! . . . A „~=s PleaSe com~pietB f~Or,~~'~Single ~lwal~~9 ~4~ ~~'v~ ;b~ ~ , ~ townham~ h~r~ qem?Its are required for each unit r k~t v i~U Y' y is7 3y* r~ d onifumace' New `construjan - ~ ~v°`~~~"S .~u 8C irexahanger, i e Vanee~system, etc. Add-on air copddionin~ d< x ,v'~q f~ ~•"4A`~~ r~y'~^'y~3(a k~ Sr+'~C's~ ,~~t~n. 5 q' k1 4~~f `~4 rt r Er 'L !y e5 . A Date ppQ 4 ' f' 3 4 y..a ,-3 b f - S ~"y~y~Y ~ y t.. ~ ~ ~~.00 . . Minimum Fee :Add opIRemR~el (e~cist~ng res~d ce only) $ i u ~ . ' ~ . , . ~ ' : ~ x ~,f , a r`~ a E c 1 ~ t Pl ' r ; ~ ' • tl Y. Y/ . j4 ~ t ~ a; ? . HVAG; 0-100 M pTU:' 24.00 6.00. Additiona,l Gas Outlets (mmi(~'~~m of 1~a~u~r~d Q$3 DO ~ach) ; nFrut "ri ,r ~c ~x t`~=8t ~^f ^dsx 'i , ' CJQ , M~i P; , Stat@ SUrCh8i~eta~+ 1A3 . . • . i .4 l aC t E A V 2~ 1 ~ 1. h { ~ } ~O . . I . $ r„ TOTAL > ~ c s n~ .~i y.~e"`s i r,~~~t ikT*~~~4~~ r~ ~x`~ a a z k.r 'r F' v1 ~vi i • . 4t i v~ wi # ~R ~,t ; ~e S. . x _ . SITE ADDRESyS y y p PH0NE i OWNER NAME i Y rv~ + ~ rt v n t~ ~ S Y a 4 r INSTALLER NAME= ` i°n12. ~ i+t ai k F~~ wo'~ STREET APDRES4 : , -^7ty t i r x! k x~~ 1 4 9-br~x ~u ST``Wf~.. J.lf.1~ }ds] 1 f a, ,~i~i/"~ CITY PHONE 48 !Sfl ~ P ~ f ut f ~ CITY USE ONLY L ~ 8L _ ~ RECEIPT SUBD. 11 i~h • IIS 2RECEIPT DATE: PERMIT# ` 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOH RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existi g dwellin min um fee $ 30.00 Describe: 0r le Y( c Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = 8 Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ ~ Lavatory 3.00 x = $ Septic System new/refurbished ' requires MPC Uc. 75.00 X = Se tic Systertt abandonment 30.00 x = $ RPZ new installatioNrepaidrebuild 30.00 X = $ Rough opening 1.50 x = $ ~ Shower 3.00 x = $ Underground s rinkler if dwelling is under construction 3.00 x = $ Undergroundsprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dxrelling under eonsVUCdon 5.00 x = $ Water softener if existlng dwelling 30.00 x = $ Waterturnaround 30.00 x = $ State Surcharge 50 $ .50 TOtal Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. 3 V' ~ -1 •-----------------------------------------------------is--------------------------------•-•------------------------------- hereby acknowledge, that I have read this appliption, state Nat the infortnation cortect, and agree to compty with all applicable Cky of Eagan ordinances. It is the applicanPs responsibility to noti(y the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its normal operational and maintenance adiv@ies to the facilkies construded under this pertnit within City property/right-of-wayleasement. SITE ADDRESS:, y~ 19 w~s~ ^ H-i l Is 0 r'v e--- OWNER NAME: iAv S d Vhol' fl TELEPHONE ~C~ Z~' 82~FS (AREA CODE) INSTALLERNAME: TELEPHONEIDS ) yoS (AREA CODE) STREET ADDRESS: CITY: S q no~ ~ STATE: Y?IA) ZIP: SIGNATURE OF PERMITTEE I PERMIT City of Eagan Permit Type:Building Permit Number:EA115876 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 4719 Weston Hills Dr Lot:016 Block: 005 Addition: Weston Hills 2nd PID:10-83751-05-160 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Matthew Smith 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 - David A Borman 4719 Weston Hills Dr Eagan MN 55123 (612) 803-1135 Smart Exteriors Llc 332 River Woods Lane Burnsville MN 55337 (952) 451-4200 Applicant/Permitee: Signature Issued By: Signature Date: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: c3 LP 2013 RESIDENTIAL BUILDING PERMIT APPLICATION / Z7Y/ / 3 Site Address: _/ 71 % d✓h517- //) 12r • Unit #: Resident/; Owner Type of Work Contractor Name: �vt %i orrn a,, Phone: (/1 P Address / City / Zip: 4/7/9 j/tsfi^ Ml/J Applicant is: Owner Contractor Description of work: ��- i 22r%'cc .=?• q6dS Construction Cost. � Dad Multi -Family Building: (Yes / No ) Company: Srirr�-f �r rs,s LL C Address: -172 TZ,✓^r' Contact: "( 511-- State: l f r' /T/ Zip: S` -S -I Phone: City: Urn so 957-y51-L/zoa License #: age 6 7 `1Z p. y 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 Q No If yes, date and address of master plan: Licensed Plumber: Phone: Phone: Phone: Mechanical Contractor: Sewer & Water Contractor: NOTE Plans and supporting documents that you submit are constdere the information maybe classifi•ed as non putiTc if you provide specific rE Conclude that they are trade secrets is information. -Portions of at would permit: the City to CALL BEFORE YOU DIG. Call Gopher State One CaII 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.orq 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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Ws—/.^. Applicant's Printed Name