4720 Weston Hills Dr
` e
Certificate vf Cccupanc4
(Fiti) o~ *a9an
~?~cut ~ an#0ection
This Certificate issked pursuant to the riequiremerets of the Uniform Building Code
certifying that at the tinre of issuance this strurtrere was in compliance with the variaus
ordinances of the City regulating becildirtg construction or use. For the following:
use clissificu;oo: SF IJGB 914 Perm;t No. 2258R
Occup-cY TYPe R3/ml Z.oaing District R I Typc Const. VN
OwnerafeuildiosKEYI.AW HMS I.M Address 14450 BlVIIIE MN, SlVIfIF.
s.fM.g naa.. 4720 WFSILN FtIIdS UlIVE -.,;ty L 14. B2, WESM FM.iS 2M
Da1G' ~ ~
~ BWdinS Ol5c+s1
• POST IN A CONSPfCUOUS PLACE
.
Address 4720 wESmN fln:r.~ D-Riw Zip 5512 3
Lor - 14. Blk 2 Sub wLunrt tmjs 2K)
THFSE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Pertnanent steps (main entry)
Permanent driveway I/
Permanent gas ~
Sod/Seeded grass
Trail/curb damage ~
Porch ~
Basement finish
Deck ?
Please verify with t6e builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential eaasts.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ~
Whitc - City Copy Yellow - Resident Copy Pink - Conuactor Copy
INSPECTION REC4RD~
`GITYQF EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4875
SITE ADDRESS: APPLICANT:
f3 [ 1 I'. I~ii 1~~•~:~i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
. . • , li
~..it
I
~ _ . ~
Permit No. Permk Holder Date Telephone #
. . S/W
PLUMBING
HVAC
ELECT
ELECTRIC
Inspeetlon Date Insp. Comments
Footings I
(
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. l d-9 j/1
~er
l5ul.
% .n
Fireplace
L /V
Fnal Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Piumber
Const. Meter
Engr.lPlan
Bldg. Final 7
Deck Ftg.
Oeck Final
well
Pr. Disp.
_ O - ~~`i
^
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: I + L::
Eagan, Minnesota 55123 Date Issued: 4?+• Jiy/'I'l
(612) 681-4675
SITE ADDRESS: 1 } y ti I ti( t APPLICANT:
~ i~~ ,,~ri ~,i? 1i~r N~}iia
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION •
I ~
~ J
Permit Na. Permit Holdsr Date Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Commsnta
Footings I
Faundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul,
FreplBCe
Final Htg.
Orsat Test
Fnal Pibg. Ptbg- Inspector - Notify Plumber
Consl. Meter
Engr./Plan
Bldg. Final ~
Deck Ftg.
Deck Final
Well
Pr. Disp.
~
CITYOF EAGAN PERMIT aUILozNG
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number: 0 2 2 5 8 8
Date Issued: 12 / 01 i 9 3
(612) 681-4675
SITE ADDRESS:
472e wesroN HrLLs oR
LOT: 14 BLOCK: Z
P.I.N.: 10-83751-140-02 WESTON HILLS 2Np
~
DESCRIPTION:
BUat.~.[F9'rrg., Permit Type SF DWG
Br t3lding~W rk Type NEW
~IBG Accupa R-8 M-1
ConstruGtion 4)i.pe V-N
ton3ng ~ R-1
~ Building 4tingth } 58
Buildirrg WidGh ~ 42
F r
V i/
a ~~~fu In-
REMARKS:
PRV S& W PLBR - D C MECH
FEESUMMARY: vALu,qTxoN $141,000
Base Fee $783.00 MZSCELLANEOUS $1,744.50
Plan Review $508.95 Total Fee $3,856.95
Surcharge $70.50
SAC $750.00
5AC % 100
SAC Units 1
Subtotal $2,112.45
ricQNTLPAgTRN E s 18942636 0001553 IC?Y"L~N0 NOMES
14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY
BURNSVILLE MN 55337 BURNSVILI.E MN 55306
(612) 894-2636 (612)894-2636
T Ptereby ackerowledge that Z hawe read' Chis apPla,cat3pn and state that the
inf4rmation is correat and agree ta campJ.y with aYL applicable S-ta'te of Mn.
$taCuCe~s arad Gity of Eagan Owdinances.
L _
APPL P E IG A E ~ ISSUEDBY:NA U
REAC'IVATE _ CITY OF EAGAN
PERMIT N WED 993 BUILDING PERMIT APPUCATION
681-4675
1993 A ~ I I-
NGL MULTI-FAMI f plans, 3 reglstered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy af 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 u Valuation of work V)9,3ov
Site Address: 472.C.) WEsTon '~+1LL5 b-~.lUf
STREET SUITE /
Tenant Name: (commercial only)
IAT BIACK Z suan.w~Ton I-~ILL6 p,I.D. 0
Sr-un7 ADpiTion
Descri tion of work: aF--V) sr fstal-E ~--AL.rvtE
The applicant is: ? Owner Contractor ? Other coesor;ee>
Name Phone
Property LAST FIRST
Owner Address
STREET STE N
City State 2ip
Company EZZT -S Phone 2fo36
Contractor Address MS0 &Q,4zbVII,LF- WWY• License # ~3 Exp.3`3l-`~
City SU0Y),5;;,tJiLLE State A4• Zip 55304o
Architect/ Company Phone
.
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber `D• C• mELkv1iC4L . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read thi a plication and state that the information is
correct and agree to comply wit all appl a le State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE . , ~ ~ • ,
13 01 Foundation 0 06 Duplex O 11 Apt./Lodging t] 16'BasemeAt,Finish
02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Pubiic Facility
? 21 Miscellaneous
WORK TYPE
~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V-1~ Basement sq. ft. MWCC System
(Allowable) V-K4 lst F1. sq. ft. Lity Water ~
UBC Occupancy -3 t~1r~ 2nd F1. sq. ft. PRY Required
Zoning a--1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire 5prinkler
Length On-site well Census Code ldr
Depth ya On-site sewage SAC Code o?
APPROVALS r
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O Site O Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee vew.ccon: $(y I, OOQ ~
Surcharge
Plan Review GA ~ES
License
MWCC SAC ~ x 13%i % Cg~~
City SAC ,
Water Conn.
Water Meter
Acct. Deposit a `X 2g ? 929
5/W Permit G k!3'iz = 81
S/W Surcharge
Treatment Pl. ~ g k I 4-- Z52
Road Unit
Park Ded. /pb/ Y15= ~
Trails Ded. 15T 1FLoog; '
Copies
Other C3ST~T: = !O(o(
Total : ) ~ y : ~ 5'7qZ 6
5AC % lG~ ~ ab / 1tSLI ~ SAC Units Z
ZN'C ~LODR, •
c '1Z8
a x /ct r 07 9 5'yc132
!'~X1N = 25L )
idoa x 5 4= /Yo, 21F!
11i01i93 08:16 003
saa 472 E T I 3662-A '
SURVEYpR'S CERTIFI"iIE KEYLANO HOMES
O~gbg>
o
wESYON
~x856.i ~s23z`6>g~~ ~..,9gg~~l7'S~ .
oI \ee'~g3 sERJ o ~ 1'e
~ 958.50
966.7
L9~a,;
ToPo FP~IPEK r'a 5C Pa VE~Py ?'y ~i•', ``•~m
e~EV..907.03~--~ 1 OR 7'6 g^5b-1
, n
30/
r' W i N g.
S66.4
O~
N ~9 969~ ~E8'
~ ~t 6~ CqyT.S t~o\
~
~ ~ .
N
f~ e \ e
~
ob I LoT 14
(r1 l DAAp~O~OE 9 UTIUTY
EA3EME/tT PEN PLA7 ~
ir [1- - - -
1 \
N 6` - - - ~g
~
)(9s4,5)
147:68 3 68° 59' 09" W
PRIVATE HIOHWAY EASEMENT
• PER g00K 74, MR, PAGE 383
SCALE ~ I°=36
m a TtD~ N~ p6 ~ Jam~es P R. Hil I~ inc. i'` J o N° Z N~"~ o N>°~ PLANNERS / ENGINEERS / SURVEYORS
O - o v m y w {
N ' 250~ W. CTY. RD. 42 • BURNSVILLE, MN. 65337 9 812-880-6044
,-a..
11/01i93 08:15 002
eenae 4720 WEST ILLS DRIVE 3662-A
SURVEYOR'S CERTIFI'i'i~TIE KEYLAND HOMES
~Y~~ ED
D
IEAGW E1VG E ~ERIlVG D,,
NOTE: 6 g! SH y!N ARE
~
~ a..
, 6
N02E : HO 8P£CF}C 5014$ IN1~T q7JpN HA8 BFSaN COMPI.ETEO
ON T1118 LOT 8YT~'~$1 yl~p. 'fyE b5llqpIg~l. House OF
NOT gT E RL9mLy0lT~ O~TNB ~7~EYOA IS ~ ~i•-
~
DENOTES PROPOSEp SURFACE DRAINAGE o° ~
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES lRON MONUMENT FOUND PROPOSED OARAGE FLOOR -957 6 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLpCK - 9 SB. 2 FEET
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot la , gbck 2, WESTON HII.LS SEWND ADDffION,oceordiny to ihe recordsd plat .
ihereof,,Dokota County, Minneaota. "
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SU ION THIS 22 ND DAY OF OCT. , 1g93,
SIGN ; JA . HILL, INC.
PROPOSED 6RAOE4 9eqWN WERE
T4KEN RROM TFE GpddN(i pLqN
~OR WESTON NILLS PREPARED BY 8: C
LYMAN DEVELOPMENT, C0,
JOHN C. LApSON, LAND SURVEYOR
MINNOSOTA LICEN8E NUMBER 18828
~ o m o10
L-O ~ JO ~ N D o~ J~~~? R. Hi inc•
Ns o
°
o Z pLANNERS / ENGINEERS / SURVEYORS
N m ~ ' o - 0 `Nm rZn w ~
2600 W. CTY. RD. 42 • eURNSVILIE, MN. 65337 a 812-890-8044
LOT SIIRVEY CHECRLIST FOR RESIDENTIAL
, ~ Yw BIIILDING PERMIT APPLICATION
uj PROPERTY LECiAL:
K U) Date of 8urvey: 04 n
M
2 DOCIIMENT STANDARDS
6-10 ? • Registered Land Surveyor signature and company
6^ ? ? • Building Permit Applicant 0''0 ? • Legal description
0" ? ? • Address
0~J0 0 • North arrow and bar scale
0~ • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
$ 0 0 • Directional drainage arrows with slope/gradient 8.
0~ 0? • Proposed/existinq sewer and water services
8~? ? • Street name
[~0 0 • Driveway
£LEVATIONS
$Xi3tiIICf
~ ? • SEWEr service
0~ ? • Lot corners
? 0 • Top of curb at the driveway
C~ ? 0 • Elevations of any existing adjacent homes
ProDOSed
E' ? ? • Garage floor
p1~ ? ? • First floor
C}~ ? ? • Lowest exposed elevation (walkout/window)
p~ ~ ? • Property corners
Q/D D • Front and rear of home at the foundation
PONDING AREAS (if aonlicable)
? 8'' ? • EasemenC line
LI L1~ ? • NWL
? 2~ ? • HWL
? 0- 0 • Pond # designation
? C~ ? • Emergency Overflow Elevation
DIMEN6IONS
fl ? 0 Lot lines
p!'?? • Right-of-way and street width (to back of curb)
CY 0 0 • Proposed home dimensions including any proposed decks,
overhanqs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
? • Show all easements of record and any City utilities within
those easements
2~- ? D • Setbacks of proposed structure and setback of adjacent
existing homes
p I~ ? • Retairiing re irements, if any
Reviewed• z
•Na e - / ate
October 1992
I
• ' owrtER: - nnrr :_1_ 15
S?7E ADDRESS: ~E~ST0l'tLL.L~ • PFIONE:
COPlTRACTOR:~f i/L~~?"rj PIAN r~ ~~~oLpZ
Determine working square footage of each
1. Total exposed wall area..... %7L~S sq. ft. x .11 =
2. Total roof/ceiling area..... 1,7z, 4V sq. ft. x .026 =
Total exposed wall area above,floor=
a. Total wall window area
b.' Totzl door a-rea
c. Total sliding glass door• area.................................... 240
d. Totzl rireplace wzll area
e. Totzl wall framing area (average 10'x) 77
f. Total rim Joist area Z q~?
g. net wall area above floor
h, rrall area a6ove fioor
i. . wall area z6ove floor
j. frzme wall area at fo~-Illriat_on
Total 2xposed foundation area=
k. Total foundation window area ~
1. Totzl net."foundation area above grade
Oetermine "u" value of each wa]1 segment ~
(e,g, window, cfoor, each separate wail section) •
a. X it U„ 7 = 3, S
, n. x ~,~1, t2l
C. v x „u„
a. - y „ull _ - :
e. ~7v X „V
~
r. ~~]9 X „u„ ~.9/~ ~
5 1-4114 x „ull
h. X ,lull _
x ull _
i.
. X llull
j• IT item :3 is t.~-
~ X"U" as, or less thzr.
' Y• il, you have me:
X"U" intent of 5BC cC
3 . .................................Total
4. TOTAL EXPDSED ROOF/CEILIHG CALCULATIOt15:
' G~•.
` 7o[zi expnsed L,-r
roof/ceiling area........ I ~0 O sq f[
: j) Total skylioht zrea....... - sq ft x"U" °
k) Total roof/ceilinq framing / )
area (Averaoe 102)...... sq ft x"U" ~OC iGqZse
1) Totzl net insulated c~roof/ceilinq area.......r~~/ ~~l9 sq f[ x"U"
L TOTAL j) thru 1)
I` total o` '4 is the same as, or less than f`2, you have met 2he intent o`
• 2 `!C?Z 1.16005 _4 ar_d 0.
. ALTERh;ATE BUILDItIG ENVELOPE DESIGN
To utilize the total envelope system me[hod, the values estzblished 6y the sum
of itens .'3 and :~'4 shall not be 9rea[er than the sum of items N1 znd °2.
1 . _.~U~I • +
+
_
1. INTERIOR AIP. FIIli 0.58
2. 2 GYPBD .45
~ 3. 5 1 2 SOFP kOOD 6.87 _
. t{. _~A" ~1Cal'A~EA'TT1i^'l~ i.i5Jl1 S'R -
~ . S. SIDLNG .6
6. IOR AIR FILM 0.17
~u. T -A- = 14 l~,
-4-Q U= .o~
~ I
~=G. --l 'fbrviErJ Cf N-E,r
QRqNc^ NALC z-
1.
1_ IN'I'ERIOR AIR FILM C_ 68
~ 2. i2 GYPBD .4=
3.
4. 3 ~~t~,i~ sNE:~TV,,w~Cws~u1 5.4
~ 5_ ~ING .62
t 3 6. _ EXTERIOR A_R IIM _
1 i oZ~ 3>
O~ - U=
~
- - ~ 1. INTERSOR AIR FILM 0.08
~ -------QI 2. 6 INSUL. 19.00
s;UL 1s~L--P, 4: ~l JOIST _ 1.89
IDING .E?
. ' 6. RIOR AIR FILM 0.17
: ~ _ ~ a~.~~~ •
~ • o O~ U= .cS
BI.CCK
W.4LL 1. INTERIOR AIk FILM 0_68
1.28
e p .i~ rL;~ 2, .
~~e• ~ ~ ~ i 3. ST'YRO .0
, „ 4. PROTEGTIVE &ARFLTER
5.
6. EXTt-RIOR P. F Yi =
T0~'_P.L R= 7.13
U= .1'-
i - -
i
SLA.3 0Iv GRADE •,1
~
C , ' ` . p ~ //i _ , • ~ , ~ , _ ~ .
Flr,, r
I;q lL~
43 L • ~ ~ ~ll _ ,r; _ I( x ~ r~~ J
t
ricrrE: zrrD?ca~ TYPE, „R" va?:M. s7:: P,Z
0 ~ Pi.F.CEMENT 0.7 DlSlPLATTON.
R-V.AUJE
-Ak
2.
~ 3.
j~ 4.
VFN-r L
~=J
yFNr'F;,, ~ FXAT FL~41 1• 1'~'i~iLi cv -?~it"L..~-~ ~ r-i . ~
2.
n._ UP 3.
„t_. ~ ca
FIG. #5 U
1.
~
2.
- _ -
3.
' 4.
• / S•
/ ':'OTP.~,
U
I 2 ~O LO .
2.
V~'~I'I.Er 3.
H~'AT F'IAW U? 4.
5.
fIG. .6 ' - U =
2.
3.
• ~ ~ 4-
~
' ~ „ ~ ~ ~ i ~ ~ ~ A~ _
,t• ;',',-A1~ • v' . _ _.r•Y . U
~
/ NOTE: USE PDDTTIONP.L SfEETS T-F' t~RE S?F~' I`
NON-VFNI'~ PIEEDED FOR DETAILS RND CP.T.ITTLF.TZO?4S •
HEAT FUJW
LTP ~
FIG. "7 .
. 7637831811 ,
Nov ZO 07 09:14a Connie David 7637831811 p.l
7 1 I t&3 9C~ . 6u
2007RESIDENTIAL BUILDING pERnzrr nrrLicArioN
city Of Eagan ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Corahiuticn ReauiremeMs RenmdeURePac Reaui~hs Otfice Use Onhr
3 regislert.d site surveYS Sha+^n9 s9. ft of bt s9. ft W haise; antl 01 rooletl areas 2copies M plan showin9 footin98, bemm Osts CertoF SureyRecd _ Y_ N
(20%mauunumldaoveregeanoMred) 1setWErMYCalcudatiasforheatedad(fihore Sa1sRaPort _Y _N
1 Sods Repat if propased 6uddirg is m be Weced on C's[urbed soil t si[e survey krauditiom & decls Tree Ares Plan Recd __Y _ W.
2 copies o( plan sMaing bearn & mindow sizes: poured tound tlesign, etc. Add#im -irMicaM Aon,site sep5c system Tree PKK Requwed _Y _4
1sdWEraty7Calwta6rns OnsilIa 5ePtic 5Yste^ -Y --N
3 copies of Tree Preservation Plan if bt pWttetl after 711193
Rim Jpst Dettil Oplions selection sheet (bWdegs wgR 3 or less unds) .
Minnegasco mechanical ventiktion (oim
Fli3nS a:°E CCYYSFCI2I'Bd Ylib§EC ItYfOTt778tE0Ie i1:3ie55 ` Qi.E S't3T6 '~??^cSd a'7e t'caE 50'%: e": unI I'i'e I~cSmf:.
Date ~ /6/ 6-7 Construction Cost - I.
Site Address L{ -7ot Wof~_'{'r' ' ~ ):5 ) v, i V e ` UniUSte # i
E ol M hi 5 S II;k-~~ _-1
Descriptioo of Work Q c° e-n nt ra iryA- Lt c
N1ulfi-Family Bldg - Y Flreplace(s) _ 0 _ 1 _ Z .
.
Property Owoer j v~T Cl- L_CA u r~ V4u Y\'t Telephone #(y<-~ j> 44 5'-%
Coetractor t\llS.~r,'1"htv n
Address ~ G~-j r _ City f~e-x , n 9-hr~V-N_-
State {y1 ~ Zip S'50 i~j Telep6one#(7wg) ^9v'3
COMPLETE TNIS AREA ONLY IF CONSTRUCTINCs A NEW BUILDING,
- Minnesora Rules 7670 Cat >0 1 Minnesota Rules 7672
Enefgy CodE C846gory . Residential Ventllation Category 1 Worksheet • New Energy Code Woiksheet
(J submission type) gubm7ttey Submitled
. Energy Envebpe Gakulations Submitted
In the losi 12 months, has ihe City of Epgan issued a pemiit for a similar plan based on p master plon$
- Y _ N If yes, date ond address of master plan:
~ Licensed Plumbc>r Telephone )
Mechanicak Conhactor Telephone # ( }
Sewer/WaterCon#wctor Teiephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accura)
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of V.
Statutes; I understand this is not a pernut, but only an application for a pernut, and work is not to start withoul
permit; that the work will be in accordance with the appmved plan in the case of woric which requires a review a;
approval of plans. 1
L
t ?
AppticanPs Printed Name Applicant's Signature
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U IGl N G
Eagan, Minnesota 55123 PermitNumber: 024008 ~
(612) 681-4675 Date Issued: 0 6/ 3 0/ 9 4
SITE ADDRESS:
4720 WESTON HILLS DR
LOT: 14 BLOCK: 2
WESTON HTLLS 2ND
P.I.N.: 10-83751-140-02
DESCRIPTION:
(ABOVE-GROUND)
8uilding Permit 7ype SWIM POOL
Building Work Type NEW
i
i
i ~
~
,
r~
C
REMARKS:
FEE SUMMARY:
VALUATION $3,000
Base Fee $54.00 COPY $.50
Surcharge $1.50 Total Fee $56.00
Subtotal $55.50
CONTRACTOR: OWNER: - Applicant -
'OLSON DENTON
4720 WES70N HSLLS OR
EA6AN MN 55123
(612)688-3369
I hereby acknowledge that I have read this application and state that the
information is correcC and agree to comply with all applicable State of Mn.
L 5tatutes and City of Eagan Ordinances. ~
,.~W44~ m' 4e~--_ ~n R,n,il. I ~
APPLICANT/PERMITEESIGNATURE ISSUEOBY: IGNAR1'G E r
• CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION 140,01 681-4675
u - 0
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 capy of energy calcs.
Penalty applies: i) 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 A q Valuation of work ~ aC>-t)
Site Address: y7~20 6VPs70n //ws
STREEi Sl1ITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD_~), - P.I.D. #
a~Y,l~ •Crl(,l~
Descri tion of work: le avyoQ 0Lv /
The applicant is: ? Owner ? ontractor ? Other (Desoribe)
Name /So,eN 2U1 n W- h/a ra Phone Co $e-33~ ~
Property LpST FIRST /
OWnel' qddress _ q7r90 6161,9s~avk
STREET STE 1l
City State Zip
Campany Phone
Contractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time far
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 w' h all applicable State of Minnesota Statutes and City of
Ea9an Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY . - ,
BUILDING PERMIT TYPE y' {
nish
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging N? 16-8 =Comm./In~d
? 02 SF Dwg. ? 0
7 4-Plex ? 12 Multi. Misc. 7 03 SF Additian ? 08 8-Plex ? 13 Garage/Accessory 18 .
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm.(Ind. Misc.
? 05 SF Misc. ? 10 t4ulti. Add'1. ? 15 Deck ? 20 Public Facility
0 21 Miscellaneous
WORK TYPE
31 New p 33 Alterations ? 35 Tenant Finish ? 37 Demolish
ddition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of 5tories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code j-L
Depth On-site sewage SAC Code
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ) 2F Footing ? Framing ? Insulation
? Wallboard PFinal ? Draintile 1:1 Fireplace
Permit Fee veiuac;m: g 3000
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Fark Ded.
Trails Ded.
Copies ~
Other
Total:
SAC %
SAC Units
11/61/93 98:16 ,.Fa# ~ v.s~
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eaa 4720 E 7 IV
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1993 MECHANICAI. PERMIT (RESIDENZ7AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN NW 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOIvIES AND
CONDOS WHEN PERMiTS ARE REQUIRED FOR EACH UNIT.
- - - -
L' NEW CONSTRUCTION
P.DD-ON A,IC
ADD-ON FURNACE
DATE 111as 193
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ S3.00 EACH) .Od
ADD-ON/REMODEL (Exis7'ING CoNS'IRUCTTON) $ 15.00
STATE SURCHARGE .50
TOTAL L33 • 50
SITE ADDRESS:
OWNER NAME: xy~ TELEPHONE F95l '02~ 3 ~
INSTALLER: [L , 41.e_ •
,
ADDRESS: Q<..e• ~ ~ -
CTI'1': ~?ue-, ~a~ STATE: °f72,~- • ZIP CODE:
TELEPHONE S~`rC7 ' rP/~~
-
SIGNATURE OF PER
¢-•`x.s~N~&;.t`.t`q °¢"~x
w' `~'~~t ' ~ ' ~ 3a 3a ~t3
. .,...,.w,., ,a,.r.<.v.. .a...sha?....C,.3..~;.w.•ak~3.~dY..4.w.,..r..7z4.~.cd6:~.'~'~s.°'era :a..a...v..~za,zr.t;:tfs~,~~`»€"ixe.w.ae.> „ r¢. .
1993 MECHAATICAL PERMIT (C0MII4fERCIAI,)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL CONAIF-RCIALlINDUSTRIAL BUII.DINGS. ALSO COMPLE'I'E
FOR APARTMENT BUILDINGS OR OTHER NfCTLTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF C4NTIZ:AG'T' FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF MRMT FEE.
TOTAL $
STfE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
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Date:
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use Permit#: Jo b 0 1
Permit Fee: /0
Date Received: E - to ' (/—
Staff: /- /
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
7 o �=
DA Unit #:
RESIDENT /
OWNER
Name: ,(A 1 14(AAA4
Address / City / Zip: 4' /A
Applicant is: Owner Contractor
Phone:
TYPE OF WORK
Description of work: �J
Construction Cost: ~6 � , Q�
Multi -Family Building: (Yes / No
Company: /J,w I✓ . ypk R
Address: (oLA S USAS /LAN'ttr,t,,)4 tE City: )1 •31 ,
State: Zip: 55017 Phone: Ga S - 36l 3 — S -(Z
Contact:
License #:
cc y G 79 3 b 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:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
-p
the information' may be classified as nonpublic if you provide specific reasons that would permit the City to
conclude that the 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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x JfJ y /?74, z o,1
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144356
Date Issued:07/24/2017
Permit Category:ePermit
Site Address: 4720 Weston Hills Dr
Lot:014 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey T Hunt
4720 Weston Hills Dr
Eagan MN 55123
Evergreen Construction Copany Inc
1200 Centre Pointe Curve, #175
St Paul MN 55120
(651) 209-3130
Applicant/Permitee: Signature Issued By: Signature