4725 Weston Hills Dr . . .
+0a
• - t~P .
W-ertificate vf Cccupanc~
WitV of Cfagan
Zcwrtacat of 8uitbiag anopection
This Certificate issued pursuant to rhe requirements of the Uniform Buifding Code
certifying that at the time of rssuance this structure was in co?np[iance with [he vnrious
ordirtances of the City regulating buildireg construction or use. For the following:
Ust Qassification: SE I= Bldg. Permic No. 92467
OccupancY Type RIhi l Zoniog District R I Type Const. VN
Owoer o( Buildieg MOXNALU 0ONSIRLY-111QR A&hvss 1217 W I_ 7. BAY RD, B'VI7I R
BuiWing Addea 4725 WE= Localiry 1.17- $.rl, kF_93''(V MII C 7M
Date:
BUIdBS OffiCUj/
POST IN A CONSPICUOUS PLACE
`
~ .
INSPECTION RECORD ~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Permit Idumber:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: i E APPLICANT:
;i; I iild ti I ; iti;~
PERMIT SUBTYPE: TYPE•OF WORK:
INSPECTION .A .
i I 1~~•'. I~'f',M i td~,
1 I t~i; I
I ~
~
~ ~
Pem?It No. Permit Holdar Date Telaphone It
ELECTRIC
PLUMBING
HVAC
InapecNon Dats Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
OECK FfG
QECK FINAL
. ~ ~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: "`)f i n t M'~~.`:'' =
3830 Pilot Knob Road Permit Number: H•' ~ -
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 '
SITE ADDRESS: ~ (11 , ! ; f' APPUCANT:
•t • 111 SrON Hl 1 It; nrr rl f I i; i. ~ ufl . t
Il I! 1, , Fl1~ i~ 1. i 4 : I •J~~ S•+
PERMIT SUBTYPE: TYPE OF WORK:
i~~ ~ i taf t!
INSPECTION D, .
1 t t N W.
F
L
~
Perm(t No. Pertnit Holder Date Telephone *
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINC3
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT R.I.
BSKT FINAL
oecK Frc,
-
DECK Flr,,,"l
.
.
~
r
. . . INSPECTION RECQRD
. ,
CITY OF EAGAN PERMIT TYPE: r'I'
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE AQDRESS: APPLICANT:
r,fi•, Nl
PERMIT SUBTYPE: TYPE OF WORK:
.A .
ra
~ ~
Permit Mo. Permft Holder Date Talephone #
• S/W
` PLUMBING
HVAC 9~ .S~ Q•
ELECTRI I 00-f ~
ELECTRIC
Inapection Dete Insp. Comments
Footings I
T V
Fountlation
Framing 2 ~
Roafing
Rough Pibg. ,,2-1-s ~ ~
Z~
Rough Htg.
Isul.
Freplace ~j ~ L12
7 l
Finel Htg. i 72e
Orsat Test es
Flnal Plbg. f~G' g Q Plbg. Inspecto? - Notify Piumber
r
Const. Meter
Engr.lPlan
Bldg. Final 1 ZO y' T/ CIL)
oeak Ftg. ~L~AiZ
oedc Flnal
weli
Pr. Disp.
/ ~ lJfL~
~M 5 8 9 7 8
Requesl D te' ire No. Rough-in Ins eci on NOTICE: Vou Musl Call Eleprieal Inspetlor
Peq " tl? II A Fough-In In et9im ~
es Is Requi
I LVlicensed contractor ? owner hereby request inspection ot abov lectrical work
Jo re (S I, ar R te Cily '
Seclbn No. Township Name or No. Ranqe No. Cou o
pcc Ph
Power Supplier Atltlress
- 1 CoMr ctor Compan Name) C ac r's ' e e
M Iling d omracto o ygrer M ng In 11 C I ~
4 -
A ri etl ig r Ca r or/Owner kin In IaGa e u er
MINNESOTA STA BOAPD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GriggaMitlwey Bitlg. - Hoom S-173 BE ACCEPTED BV THE STATE BOARD
1821 llnivarslry pve., SL Paul, MN 55104 l1NLES5 PROPER INSPECTION FEE IS
Phone(611)842-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ~ ee-ooooi-ae
~ See insttuc~ions for completing this lorm on Gack ot yellow wpy.
{~p p p 'Tc ~
lYl 58978 ' Below Work Covered by This Request
ew tld Rep. TypeofBUilding AppliancesWiretl EquipmeniWired
Home Range Tempoiary Service
DupleX Watef Heatef Electric Heating
Apt. Buiiding D er Loatl Management
Comm./Industrial Fumace Other (Specity)
Farm Air Conditioner
Diher (spxify) CqMreclor5 ilemarks:
Compute lnspecfion Fee Below:
# O[her Fee # ServiceEntranceSize Fea # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 100 _ Amps
66
Irrigation Booms
Signs finspector5 Use ony: =Dlq('ONNF(-.
Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OROther Fee COMPLETED WITHIN 18 MO THS.
I, the Electrical Inspector, hereby Rough-in
certify that the above inspection has Final ~ et)
been made. i
OFFICE USE ONLV '
This reQUest wid 18 monih5 from
Address 4725 WES10N HILI,S DRIVE Zip 5512 3
L,ot "17 Blk 5 Sub wESroN tIILI.s 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: /ItN Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage) ?
Permanent steps (main entry) V
Permanent driveway j/
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from ihe plumbing sys[em and the shut-off of water supply to
the outside lawn faucet befoce freue potential exists.
Contac[ engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWcfion Reauirements RemodeVReoair Reauirements Ofi~ce Use Onlv
3 registered site surveys showirg sq. R of bt sq. R of house; and all roofed areas 2 mpies of plan Cert of Survey Reoi _ Y_ N
(20%maximum lot coverage allaved) 1 setof Energy Calculalion3 for heated additions Tree Pres Plan Recd _Y _N,
2 capies of plan showing beam & window sizes; paured found design, etc. 1 site survey for addiUOns & decks Tree Pres Required ' _ Y_ N
, 1 set of Energy CalcuWtions Add'rtron -iMicate ilonsile sepNC system On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if tot pladed after 7/1193
Rim Joist Detail Options selection sheet (bldgs wBh 3 or less units
Date 4 / Construct`i~on Cost
Site Address L1-~~a--, I`f ( ? ~ Unit/Ste #
Description of Work
Multi-Family Bldg _ Y k~'N Fireplace(s) _ 0 _ 1 _ 2
Proper[y Owner ~ ~ ~ Ft~--DS Telephone # ) v3J
b
Contractor ~(~T~ •
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
• Residential VenUlation Calegory 1 Worksheet • New Energy Code Worksheel
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone ) ~2
Mechanical Contractor Telephone FZ Z~i
Sewer/WaterContractor Telephone#(
I hereby apply for a Residentia] Building Permit and acknowledge that the information ~t e 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 approved pl in the case of work which requires a review and
appr vai of plans. .
dife
Ap icanYs Printed Name Applic s Signature
OFFICE USE ONLY
Sub Types , -
? 01 Foundation ? 07 OSplex ? 13 16-ptex ? 20 Pool X", 30 Accessory Bidg
? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muki
? 03 01 of_ plex ? 09 07-plex 0 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
~ 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ~ Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const VA) Width
REQUIRED INSPECTIONS
X Footings (new bldg) ~ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings (addi6on) _ Plumbing
_ Foandauon HVAC
Drain Tile Other
Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
A roved B . ~
pp y' Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC / y (,I p
City SAC l, r
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
~
Copies
Other
Total
c-1f 04~
-
~
~ ~ ~ L 2422 EnlerFrise-_QrJXe .
~ Mendoto Heighis: MW 55120
~ (812) 881-1914•Fax 681-9488
* PI_ NEEIa LANCI SUpVEYORi • CINL ENGINEEkS
* cngineerng ~+~o r+uar+[a. • unoscnvc naaniccis 625 Hlghwoy 10 Ncrlheast
Bla;ne, MN 55434
I(612) 783-18b0•Fox 783-1883
~Certificate., of Survey for: McDonaid Construction. IC1C.
~House Address; 4725 Weston Hills Drive Eaaan MN_ ,
J I' •
~
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' S 69g0 fl~ ~ ~ J (
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y~
FULL BA5'c1AE11T a I $
o U GARAGE u W AUt OJT
s
se
s.oo to.e~ Fj 10.J3 ' .oo 12.00
x9S8,93
958.4~
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~0 85.OD
t3 ~I95~'S 189158'09" w e
~59•~;....r ~sq.,3
WESTON HILLS DRIVE
,
NOTE: GUNTkAC70R tfUST'afERIFY A! L. CIIMENSIONS ANO DRIVEWAY DESIGN
K 900.0 Denotas Existing Elevatlon PROPOSED ,~-J4USf._ ELEVATIQN
~
.C~oo.y Denotes Proposed Elevotion LuwESt Flour ~levation: 9s~c.77
~ Denotes Drainage & Utility Easement ToP of Block Etevation: 9fp2. q o
Denotes Droinage Flow Direction Garage Siab Elevotion: 9~1.9 v
Denotes Monument '
--a- Denotes Offset Hub Bearings shown ore ossumed
LOT 17 , BLOCK 5 WESTON HILLS
pAKQ7A COUNTY. MINNESOTA 2 N D A D D I TI n N
I hfr6hy cer;lly ih3t Um surv<y, plbn 0r revarl wee p~eypr4d pY 9, ~ e1' dirECi wpaNISl4gi and lhal I Bm dWy Hepislereil l,antl Survryor
r 1 ~
undai the lam ol the Stbte of Minnciota, Dalxd thi:~~d~Y ef- '~"d --X•U, 19-f-3-..
RN~x~ Pt~ t~qJE Mq~ 1DflI/9;j
~
If1Gt1 _ tee'N 9ERT B. SIIUCH S. HE . NO. 14891
Scal~~ 1=--30-
2004 RESIDEN'ITAL BUILDING PERNIIT APPLICATION 00
City Of Eagan -N ~ Q -
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons4uction Reauirements RemodeUReoair Reoui2menis Ofice:Use:OnH
3 registe2d sile surveys shwiing sq. fl of bt sq, ft of house; and all roofed areas 2 copies ot plan Cert.of5urygy.7iecd N,
(20%maximumlolcoverageallowed) lsetofEnergyCalculationsforheatedaddNOns TreePresPTan,Rec~ !Y'='N,
2 copies of plan shovring beam & window sizes; poured found design, etc. 1 site survey for addNons & dedcs 7regPres Reqwred' N
1 set ot Energy Calculations Addifion - irMicate Kon-sfte septic system On~slte Sep6g;Systg~. T,,;,_ R'
3 copies of Tree P2servation Plan if lot platted after 7/1193
Rim Joist Detail Opfions selectiai shcel (bldgs w8h 3 or less units
Date C;~ l o~ l~06 Al Construction Cost */I"
Site Address ~r " w.Q,d~gyv f~I.t.QQ~L ~)il ~ UniUSte #
~ •
Description of Work q- u~
Multi-Faroily Bldg _ Y~ N ~ Ftireplace(s) _ 0 _ 1 _ 2
PropertyOwner OCd dlAqP~~ ~~lli]J5 Telephone#({~v ) 6949 -63S1
Contractor ~ ~t G LeyyuC3 ea S
Address City LL, le- ~
State v Zip Telephone #(9 ~ - ~
~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(4 submission rype) Submitled Submitted
• Energy Envelope Calculatlons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
I1 (rI n
Licensed Plumber ~ vM u u~~ II I Telephone )
Mechanical Contractor FEB > 2004 lu ~I Telephone J
uu
SewedWater Contractor I_ _ I Telephone )
I hereby apply for a Residential Building Permit and aclatowledge 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 pemut, but only an application for a permit, and work is not to start without a
permit; that the work wil] be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
L..Af S aLZC-_&) ~
Applicant's Printed Name Applicant's Si griAure
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish Buiiding` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIREDINSPECTIONS
Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING pERM1T APPLICATION
CITY OF EAGAN
3830 PILOT NNOB RD, EAGAN MN 55122 l
657•681-4675
Naw Construction Reuuirements RemodeVReoair Reaulremants
• 3 ragislered sile surveys showing sq. ft. of lal, sq. fl. of house; and all roofed areas • 2 copies ot plan
(20%maximum lot coverage allowed) • 1 set of Energy Calculations tor heated addftions
• 2 copies of plan showing beam & windovr sizes; poured taund design, etc.) • 7 site survey for ezteruor addilions 8 decks
• 1 set of Eneryy Calculatbns • Indicate if home served by septic system for addi6ons
. 3 copies of Tree Preservation Plan if lot plalted after 711193
• Rim Joist DeWJ Options seleclion shcet (bldgs with 3 or less wils)
DATE VALUATIO,d
s ^
5 D~E MULTI-FAMILYBLDG _Y N
TYPE OF W FIREPLACE(S) _ 0_ 1_ 2
~'i
APPLICANi erl
STREETADDRESSI , CITYR ~ U STA E"J ZIP C 1`
TELEPHONE Q -69S " CELL PHONE PAX
PROPERTYOWNER TELEPHONE#W-,~
,
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'1'L'GORY 1 MINNESOTA RUI.ES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor. Phone #
Plumbing system includes: _ NVater Softener Lawn Sprinkler Fee'_.~ i~90 00` [77
Water Heater No. of R.I. Baths
No. of Baths Ip G ~ T 29 2032
~ LJ
Mechanical Contwctor. Phone # _
Mechanical systcm includes: _ Air Conditioning ~ - '
_ Heat Recovery Syslem
Sewer/Woter Conhactor: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and ogree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appllcant
-
^ OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled M02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi
? 05 03-plex ? 11 10-plex p 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindawslDOOrs
? 34 Replacement "Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinallC.O.
_ Footings (deck) Finel/No C.O.
_ Foo[ings (addition) plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ AirTest _ Final Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Bui{ding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Parmit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
- PERMIT
; .
CITYOFEAGAN ,
3830 Pilot Knob Road pERMITTVPE: BurLoxNG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 5 6 9
(612) 681-4675 Date Issued: 0 5/ 17 / 9 6
SITE ADDRESS:
4725 WESTON NZLLS DR
LO7: 17 BLOCK: 5
WESTON HILLS 2N0
P.I.N.: 10-83751-170-05
DESCRIPTION:
w~k~ Permit Type OECK
g` k Type NEW
434 ALT. RESIDENTIAL
a f
'k
# o-s+-~ q
w1,;? '^.""`iJ g ~ tf ~i
REMARKS:
FEE SUMMARY: •
Base Fee $45.00
Surcharge $.50
Lic. 5earch Fee $5.00
Tatal Fee $50.50
CONTRACTOR: - Appiicent - 5T. Lrc.OWNER:
CMAD MILLER CONST 14314539 2004424FIELD5 LEN
8388 144TH 5T 4725 WESTON HTLLS pR
APPLE VALLEY MM 55124 EAGflN MN 55122
(612) 431-4599 (612)686-0351
; r } r . " . . , ~ > .
f,
I 64e6k6'60~~~°9'~y~~H~t` ~ Mav~ r`e~ci`; thiajip_1, ,tea,t1 tss4 a~n t1 sCartel tW; ;the
=1b for`iiiation.;a4ss ~rrsaG *h:0' ~ar9~'ea `tb aa~c~rly u:ith "a~.;k a~plicab2e state of t1n.
• Sta`CU~~s an'do-n~#~~~+f di`n~~i~~es:;. = `
aL.~ . . . ;
~(}UB 1~1 Ol ,fA ~ ~1~ APPLIC NT/PEFiMITEE SIGNATURE ISSUED BY: ,~IGNA7URET-I-
I
? CITY OF EAGAN
lqgtl 3830 PILOT KNOB RD - 55722 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construdion Reauiremenls RemodellReoair Reauirements
? 3 2gistered site surveys ? 2 eopias of plan
? 2 wpies of plans (indude beam 8 window sizes; poured fnd. design; ate.) ? 2 site surveys (exterior addkions & decks)
? 1 energy calculalions ? t energy wlwlations for healed additions ? 3 copies of tree preservatlon plan H lot platted after 7/1193
required: _ Yes _ No
DATE: `i 16 CONSTRUCTION COST:
DESCRIPTION OF WORK: -e r ~/e c-/( rzt~ ~ wa-"
STREET ADDRESS:
LOT ~ BLOCK S SUBD./P.I.D. Z'e/e-S'fO"~1
Len J`!,~
PROPERTY Name: Z e pt~ Phone #CG/~
OWNER u - rina/7
Street Address- ~,c,~ z5 c°r A".
City: State: Zip: SS~/ 2 Z
~ ~G~?)
Phone
coN7w?cTOR ComPanY: u A lx~e_,-
Street Address: 13~Y S ST License zv ° Y Y z s` 1
~
City: .d.o le~~ y State: Zip:3 3%2 i'
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
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 {
Certificates of Survey Received _ Yes _ No 'vi AV
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
~ ,
~
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dweliing ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex 15 Deck
WORK TYPE
,~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. y3'~
Depth Footprint sq. ft. SAC Code a/
Census Bidg i
Census Unit o
APPROVALS
Pianning 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
•r c O's- ~ A ~ ~ ~ ~ S -
2422 Enlerprise_L?Nve ~ Menaola Heights: MN 55120
* Pi 1VEER LANO SUPYEYOR$ • pNL ENGiNEEkS I(812) 881-1914•Fax 681-9488
L.~-- -~.-r
* ~ngineerrng LANU PLANHCRS . uNOSCnvc nun+iiccTS 625 Hlghwoy 10 Ncrtheost
Bloine, MN 55434
.K * * (612) 783-1880•Fax 783-1883
:Certificate., of Survey for: McDonald Constructior~, (I"1C.
House Address; 4725 Weston Hills Drive Eaqon MN_
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7A7~..f,1-,3^[.~
~l qSa~ ~~g 33,00 12.00
s.ao '
~
, N 30•00 FkOFOSEO HUUSE I
^o~ ~
FULL BASfIAE14i
GAFAGE °o I $
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x s i w AQ-~ o„-
- s.oo ~a.67 g~8.~3 S se.oo 120~0
x9S8•83
0R;4EwA`
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n ~ 37.4`r
958.4> ~ ~7 .(o _
85.00
t3 ~95$ S L89'58'D9" W "4~~... u•.~5. *E-
WESTON HILLS DRIVE
,
- \UiE: CUNTkA&0R MtlST`YERIFY ACL DlMtNSIONS ANQ DRIVEWAY DESIGN
.
. 900.0 Denotes Existing Elevotlon PROPOSEQ .HQUSE ~LEVATIqN
. nog Denotes Proposed Elevation Lowcsi Flour ~levotion:L7 r.77
Denotes Droinage & Utility Eaesment Top of Biock Elevation: q b2. q o
Denotes Droinage Flow Direction Garage Slab Elevotion:9(cl.9d
_-o-- Denates Monument
--8- Denotes Offset Hub Bearings shown ore assumed .
LOT 17, BLOCK 5 WESTON HILLS
f]AKQ7A COUNTY. MINNESOTA 2N D AD D I TI ON
1 h.Preby cer;lly Jl3e thrs survey, plBn o< <t0orl wes ptt' rCd py' 4y u~ a~y di'tct wpervl}I4~ and thal I 0~~ ~~~W Heqhleruil la~tl Surveyor
. under the lawe ul ihe $tbte Of Minncsou, Dal2d thi:ay ol ~
RW*-j Par 4AJE MhJ )0fll19'3 Scale: 1iash=30"BaEJ H BERTB.SIIUCH .S.f~E .NO.1JB9]
-~G CITY'OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 4 5 9
(612) 681-4675 Date Issued: 0 8/ 0 2/ 9 6
SITE ADDRESS:
4725 WESTON HILLS DR
LOT•: 17 BLOCK: 5
WESTON HILLS 2N0
P.I.N.: 10-83751-170-05
DESCRIPTION:
(MUDROOM) '
Building„Permit Type SF PORCH
~Building Wprk Type NEW
Census Cotle 434 ALT. RESSDENTIAL
- ~
;
~
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r y
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REMARKS:
FEE SUMMARY:
VALUATION $1,500
Base Fee $48.50
Surcharge $.75
7ota1 Fee $49.25
CONTRACTOR: - Applicant - sr. LIC.OWNER:
CHAD MILLER CONST 14314539 2004424 FIELDS LEN
8388 144TH ST 4725 WESTON HILLS DR
APPLE VALLEY MN 55124 EAGAN MN 55123
(612) 431-4539 (612)686-9351
I hereby acknawledge that I have read this application and state that the
informat3on is correct and agree 'Co camply"with ail applicable State of Mn.
Statutes antl GiCq of Eagan prdinances.
~ _ _ ~
~
APPLICANTlPERMITEE SIGNATURE SSUED BY: IGNA RE ~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
104,69,996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conslruclion Renuirements RamodeURenair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured tnd. design; elc.) ? 2 site surveys (exterior addRions 8 decks)
? 1 enertgy ealculetlons ? 1 anergy calculetions for heated additions
? 3 wpies ot tree preservetlon plan if lot platled after 7/1/93
requfred: _Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS:
LOT ~ BLOCK SUBD./P.I.D.
PROPERTY Name: T,'EJdS - .L_&-N 94 ~yyf~if Phone z986-93 -5-/
OWNER
Street Address• f72S NLsf°/? ./~s 22 '
City: ~9AnI State: Zip:
CONTRACTOR Company: C.'W /dii ~~FR F~nis'/,Pu~f~"a,? Phone ~3~1 ~539
Street Address: License #:14 7
CityAfP1'--9~~~ State: Ay, Zip:
ARCHITECTI Company: Phone
ENGINEER •
Name: Registration
Street Address•
Ci{y. State: Zip:
Sewer 8 water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the iniormation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant: ~/~~%~~~~~~I~~ ~
OFFICE USE ONLY Il~CCENED
Certificates of Survey Received _ Yes _ No .i 111 3
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY 4t
. ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
W"04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
m/32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuat) vd Basement sq. ft. MC/WS System
(Allowable) ?N Main level sq. ft. City Water
UBC Occupancy 2-3 Li-r sq. ft. Fire Sprinklered
Zoning R-i sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y3v
Depth Footprint sq. ft. SAC Code
Census Bldg ~
Census Unit o
APPROVALS
Planning Building MaR_ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License s0 30 = isvv. -
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
~~ee R ~ - ~ LqNp $I)RVEYOR$ • pNL ENGINEEF$
~ C1"1 in uno vuvu[as • unoscAVC naaiIiccr~ 625 Hlghway 10 Ncrtheost
Blo;ne. MN 55434
* ~ * (612) 783-1880•Fax 783-1883
~Certificate of 5urvey for: MGDOt1C71d Construction, II'1C.
j;i°~ House AddYess: 4725 Weston Hills Drive, Eaaan MN_
i
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16
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9y
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PROPOS.D HGUSE m • 12
iU o WAAGC ki- FULL BASEIAF3<' o i$ I
~9 i~ w AQc odT j I
s.oo 1 .67 $~e.a3 g 38.00 ,zoo x9s8,93 ~
,
:qWAY Rc~~y ~ I
9 In
se.a t ~ , aa,
"v _
8500
t3 100S L89' 8 D9" W
~52•x~~...__._ ~~rq. r3
WESTON H1LLS DRlVE _ - l
, fvOTE; CuNT AC~fOR MCiST'YERIFY ALL AIMtµSI0N5 ANO DftiYEWAY DESIGN
900.0 Denoies Existing Elevatlon PROPOSEO HOUSE_ E~EYATION
. y
t oo.g; Denotes Proposed Elevation Luwcst Floor Elevation: q r.79 I
- Denotes Drainage & Utility Easement Top of Black Etevation: q(,2. q o i
Denotes Oroinage Fiow Direction Garoge Siab Elevat(on: 9~1.9 d
~ -.o- Denotes Monument '
_,.,a ~
~
. ~ PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u r Lo r N G
Eagan, Minnesota 55123 Permit Number: 0 2 2 4 6 2
(612) 681-4675 Date Issued: i l/ 0 3/ 9 3
SITE ADDRESS:
4725 WESTQN HILLS DR
LOT: 17 BLOCK: 5
WESTON HILLS 2N0
P.I.N.: 10-$3751-170-05
DESCRIPTION:
B,u'ilding?- Permit 7ype SF DWG
Pui].ding'Work Type NEW b 2.
r^UBC Occupancy,,, R-3 M-1
/ Construction Type V-N
2qning R-1 ~~13~
~
/ Building Length ~ 68
; Building Width \ 29
~ J
1
cc~~~,`
REMARKS:
PRV S& W PLBR - FIVE STAR PLBG
FEE SUMMARY:
VAIUATION $146,000
Base Fee $800.50 MISCELLANEOUS $1,744•50
Plan Review $520.33 COPIES $1.50
Surcharge $73.00 Total Fee $3.889•83
SAC $750.00
SAC ~ 100
SAC Units 1
Su6total $2,143.83
CONTRACTOR: - Applicant - 5T. LIC. OWNER:
MCDONALD CONST INC 14327601 0002376 MCDONALD CONST TNC
7601 145TH ST W 1212 BLUEBILL BAY RD
RPPLE VALLEY MN 55124 BURNSVILIE MN 55306
(612) 432-7601 (612)432-7601
I hereby acknowledge that S have read th3s application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L ~
APP CANTlPERMITEE SIGNATURE ISSUPD BV SIG ATU E l~-
REAr7IYATE CITY OF EAGAN
oErcMIi r MED 1993 BUILDING PERMIT APPLICATION ~~,b~`~•`~~
L ~ 681-4675
SINGLE Q MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I topy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 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 thange i.s requested once permit
is issued.
Date !D / / 9 3 Yaluation of work _ 10T C) C-)
Site Address: q?) 5' IA) eS'to~ ty ~R SD k
STREEi SUlTE Y
Tenant Name: (commercial only)
LOT I7 SIACK SUBD. ~ES an ` s Y.I.D. M
Descri tion of work: P 51xu u- )t~x m c C) w% y
',The appl i cant i s: ? Owner XContractor ? Other (os.«iee)
Name Phone
Property LAST FIRST
Owner pddress
STREET STE 0
City State Zip
, 7Go (
Company 117C19.4AA0 o c- Phone -~132
COI1tt'BCtOf Address 1.2Ia a/ve6ill fS.av R~ litense #0oaQ3-?G Exp.~
City 60Q/j510Xe State 14 n Zip ~SS3o C.
Company Phone
Architect/
Name Registratlon IF
Engtneer
Address City State ZiP
Sewer & water licensed plumber F;? e s Q Processing time for
sewer 8 water permits is two days once area has been appro ed.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances: n ~
Signature of Applicant:
vFFice u5e vnLY
BUlLDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodgin9 04&Bavmen~t Finish
02 SF Dwg. ? 07 4-P1ex ? 12 Multi. Misc": ~0`17 Swim Pool
~ 03 SF Addition ? 08 B-Plex ? 13 6arage/Accessory O 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Loiom./Ind. Misc.
? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
~ 31 New O 33 Alterations O 35 Tenant finish ? 37 Dedwlish
O 32 Addition O 34 Repafr p 36 Move
GENERAL INFORMATION '
Const. (Rctual) Basement sq. ft. MWCL System yES (Allowable) lst F1. sq. ft. City Water ~
UBC Occupancy X-2 M.1 2nd fl. sq. ft. PRY Required
Zoning ~L Sq. Ft. total Booster Pump
i~ of Stories footprint Sq. ft. Fire Sprinkler
Length 6 On-site well Census Code 76-1--,
Depth ~ On-site sewage SAC Code of
~
APPROVALS j
Planning Building Assessments
Engineering 4ariance
REQUIRED tNSPECTIONS '
O Site ? Footing ? Framing ? Insulation
? Wallboard ? Final 0 Draintile ? Fireplace
Permit Fee v.iuacia,: $ /q(o~O~1iS'~
Surcharge
Plan Review GARPeG~ri 3ox zZ=° 6C3
license MWCC SAC
c;ty sac 14r /4p?,409
Water Conn. ~SMT ae) n38 =
Mtater Meter xtS~ j~530
Acct. Deposit '
S/W Permit NOjir-
S/W Surcharge g4~:o"7;z 11at yr !awa z~ /j5~0/,6
Treatment P1.
Road Unit
Park Ded. I y
Trails Oed.
Copies
Other
Total:
SAC %
SAC Units ~
itz e ,S
I! 2422 Enterprise -QkXF ~ Mendotc Helghts, MN 35120
* Pi NEER (812) 881-1914•Fax 681-9458 '
~ LAND SURVEYORS • ONL ENWNEEkS
eng neer ng ~`"o °uHN~2' • w+oscAvc uta+~iccT; 625 Htghway 10 Ncrtheost
Blo;ne. MN 55434
(612) 783=1880•Fox 783-1883
*
~.Certificate, of Survey for: McDonald Construction. II'1C.
Nouse Address: 4725 Weston Hilis Drive Eaaan MN_ ,
Y1 ~ I
r~ ft~j~ 9 941.
.t I
5 6920 ~p ,
,
~
16
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7
i
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, l
51 Ig Z
1 {
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1 q
j (.71 Ut I ~ .
,
Q<1 I qs79 ss,oo ~ iz.w x9g~O •9L~' R7 I!P 5.~ ~ .asa s ~
..11~3-2~
PkOFOSED HUUSE q ~
GARAGE FjLI BASEIAEN' S l$
S g ~w wAVcoor 1
to.e~ S 48.33 S sa.oo
5.00 1200 xqr8.$3
-
>
y_57.4,~
,~0 85.00
~g ,°+58 S~89058 Q3w W '4;r~ H"a5, *E-
WESTON H1LLS DRIVE ~
IvOiE: CGNTRAC,14i0R MUST'AERIF_Y ALL,DIMEhSI0N5 ANO DRIVEWAY DE51GN . 900.0 Denotas Existing ElevationV y~ PROPOSEO ,HOU51 ELEYATION
x no.g> Denotes Proposed Elevation LawESt floor Eievation: q 5,3.79
~ Denotes Drainage & Utility Easement Top of Block Etevation: q (.2. q o
- Denotes Drainage F'iow Direction Gorage Slab Elevotton:'R~61.9 d
_.0- Denotes Monument
--E3- Denotes Offset Hub Bevrings shown are assumed
LOT 17, BLOCK M'N5 WESTON H1LLS
p 5oTA
2ND ADDITION
- I hprehy cer;lly tha2 this curvcy, plan or reDOrt we+ pie rea pYm I r~~ V d,~ett wpervlaiOn an0 ehal I Bm duW RepisrereU land Surveyor ~
. under tha lawa of tha £t&te o1 Minnecoie, Dattd thi: day af D: 19 -lp RW,xj Pa. aR,)E Mfrj lOJllI9.~ ~
~ ~.z.. . . i/
Scale: 1~ ~nch=30-- teaf R BERTB.SIKICH .S.HE .M10.14891 ~
LOT BORVEY CHECRLIST FOR RE82DENTIAL
~ W BIIILDINCi PERMIT APPLICATION
il PROPERTY LECiAL: a m -
N Date of survey: y~
2 DOCIIMENT BTANDARDB
8-'p ? • Registered Land Surveyor signature and company
V0 • Building Permit Applicant
O ? • Legal description
B~0 0 • Address
p-~~0 ? • North arrow and bar scale
IA~ 0? • House type (rambler, walkout, split w/o, split entry,
/ lookout, etc.)
B' 0 0 • Directional drainage arrows with slope/gradient
F 0 : Proposed%existing sewer and water services
0 Street name
D • Driveway
ELEVATIONS
Existina
? L9' ? • Sewer serv3ce
C~~~ 0 • Lot corners
LR" ?Z - Top of curb at the driveway
? ? • Elevations of any existing adjacent homes
Proposed
B'~0 0 : Garage floor
['Y ? 0 First floor
D~~0 0 • Lowest exposed elevation (walkout/window)
0 ? • Property corners
f8~0 ? • Front and rear of home at the foundation
PONDING AREAS (if aDDlicnble)
L7 ~ ? • Easement line
0r ? O • NwL
? 0 • xwL
? 0-~/ 0 • Pond # designation
~ Q? • Emergency overflow Elevation
DIMEN620N5
8' D ? • Lot lines
0~ o 0 • Right-of-way and street width (to back of curb)
p," ? 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
ol? ? • Show all easements of record and any City utilities within
those easements
or' 0 ? • Setbacks of proposed structure and setback of adjacent
existing homes
0~? • Retaining requ' ements, if any
Reviewed• 116
Name / te
October 1992
E%7ERIOR ENVELOPE AVERAGE"U" COMPUTATION
OWNER: McDONALD CONSTRUCTION. INC.
Mfl & MRS IEONARD FIELDS
SIlE ADDRESS: 4725 WESTON HILLS DRIVE
EAGAN, MN
Jo6 Number: VW I
CONTAACTOR: McDONALD CONSTAUCTION, INC.
DATE: 10127193 OVERAGE -185.40
PHONE: 432-7601
DEfERMINE WORKING SQUARE FOOTAOE OF EACH:
i. EXPOSED WALL AREA : 3895.06 sq ft x"U' 0.110 428.46
2. POOFJCEILING AREA : 7072.00 aq ft x"U" 0.028 27.67
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total azpoced well area 3895.06 cp ft
al Total wall window area:
3/4" insuleting elass 227.03 sq ft x'U' 0.45 102.16
61 Total door area : 37.82 sq ft x"U" 0.47 17.77
c1 Total alWinQ glass doar area:
314" Inculatinp plass 40.02 sq k x"U' 0.46 18.47
dl Total tlreplace erea 8.00 ea ft z"U" 0.04 0.22
a) Total wall freming area
(averape 105h): 369.51 sq ft:'U' 0.10 37.82
fl Total rim area: 239.90 sq ft x"U" 0.03 6.88
Totalfoundatian aree
Expaeed: 548.54 cq k
pl Totalfoundetion
Windaw erea: 85.02 sq ft x"U' 0.00 0.00
hl Total net foundation arae
Exposed; 463.52 sq ft x"U" 0.08 35.77
3. TOTAL a) THRU h) 219.03
1. TOTAL EXPOSED WALL 428.46
If item A3 is the same ae, or lass than i[em N7, yau heve met
the intent of 2 MCAR 1.16008 A and O.
ANSWER: YOU PASS
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: -
Totalexposed
raof/ceilinp area: 1072.00 sq ft
, jl Totel ekyli0ht area: 0.00 sq tt x"U" 0.00 0.00
k) Total new roof/teilinp froming
area (averape 10%) 107.20 sq ft x'U' 0.03 2.97
II Totel net ineulatad
roof/ceilinB erea: 964.60 sq ft x"U" 0.02 21.07
Total veulted ceilinp
framinp and Inculation 0.00 sq tt x"U" 1.28 0.00
4. TOTAL J) THHU I) 26.03
2. TOTAL ROOF/CEILINO 0.00 ,
N i[am Y4 ic the same as, or bsc then item Y2, you have met
the intant af 2 MCAR 1.16008 A and O.
ANSWER: VOU PA55
AL7ERNA7E BUILDING ENVELOPE DESIGN
To utilize the total envebpa system mathod, the valuea establlshed
6y Ne sum af iteme Y3 and A4 ahall not be greater then Me sum
of kems #t and R2.
Iteme 3+ 4= 219.03 PLUS 24.03 243.08
hems 1+ 2= 426.46 PLUS 0.00 428.46
ANSWER: PA55
CERTIFICA710N
I hereby cenity that 1 have calculatad the'U' fac[ore and the'H'
velues harein and tha[the 6uilding hera descri6ed meets are:ceeds the
State of Minrrosota Energy Conservatian Act.
ISipnaturel IDaul
('00. )0 35-7.SS
Use BLUE or BLACK Ink
For Office Use I
Uib of Eafill I Permit#: l ~ I. lJV I
J
03 I
3830 Pilot Knob RoadPermit Fee:
Eagan MN 55122 p j
Phone: (651) 675-5675 j Date Received:
Fax: (651) 675-5694 Staff: j
2013 J
MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: t Site Address: Y-i 10~ 1/y~S~ t 1 I l S
Tenant: --JJ- VA FA' I Suite M
Resident/Owner Name: Phone: 1-15 270- 5Qq 2-
Address/City/Zip: ~d~ ~ (/"QSIUh ►TI ~ bri' U <
Name: nn1 Q i;.llk V ttC.C•d7 "6. 4 A('Y License S Z2-0Za Jl
Contractor Address: 19 P,Vm i I l i n lo4° City:
State:tl t4 Zip: 55, b2522) Phone: (.Q 5 1 431- 9 2-4- 1 X 222
Contact: Email: K YYt~.VY~C~~CIrSC~t~3 0 it'[1fs(;LVOLIY. COM
New -A Replacement Additional -Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace _ New Construction _ Interior Improvement
Permit Type Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) 0 . TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
*If the project valuation is over $1 million, please call for Surcharge = $ 5.00 Surcharge*
= $ TOTAL FEE
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.orn
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.
x t~ tri,1 Yom? cue ~s C~Y~ x
Applicant's P nted Name Applicant's ig ature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground _ Rough In - Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
---------
�-------- �
� For Office Use
I
• � Permit#: � I���
���y o� �a�a�. � � � ,�a�� �
�
� Permit Fee: �
3830 Pilot Knob Road � �� I
Eagan MN 55122 � Date Received: ` '� I
Phone:(651)675-5675 � ,Q�'���
Fax:(651)675-5694 � Staff: T�= � �,
L---------------�y �S
.t �
2015 RESIDENTIAL BUILDING PERMIT APPLICATION � f`�,��,
Date: �°`C� " � �S Site Address: ��2� ��5�� ��`S Dn�'' � �i 0� (��1 Unit#: � ��
?: Name: E��(;'r1�� �CI���S t11ry�1 SG'l.� ��JI(�SPhone: �SZ`�L��`�{2..��
�@S�E��'tl� �\, �����
t��rs�r Ada��ss r c�ty�z�p: �--1�2� i,^�5�1 ���S �r i r,P� �0�(�r�, M�
Applicant is: �Owner Contractor
Typ��of Wr�rt�
' Description ofwork: �UM� ��� Yv��L��'1��1�
Construction Cost: t�rl1�iv1,0++'� Multi-Family Building: (Yes /No�
,�., '
� Company: Contact:
�����,��,���:�;'; Address: City:
' State: Zip: Phone: EmaiL
' License#: 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 II
I
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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NUTE:i�lan�antl�upportin��locurneirts f��t yar�s�bi»�t are ct�t��ider��l te�a��c�bicc rraf�rtn�trr�r� P'ctrt�c�r��.c�f ..'.
the r'nfr�rmafir�n rn�y 6e cfass'rt"ied as r�ort�a�bli�r"f yoc�prr�vEpf�specrt'tG re��+�n,S;:th�t�i�ld�eri�r�t��e`�r�y tc�
: CO1�C./,ud�.ilt�t-th�3: aPl�tr�d��se�+'etS�� ,;. t .�::
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.gooherstateonecall.ora
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 compieted within 180
days of permit issuance.
__.. _
X S�h-��e i �e(�1� � X_'�-a�r�`�-.. ' �.
Applicant's Printed Name ApplicanYs Signature�'
Page 1 of 3
+ . ���� �'��`� rT r� U �� �
DO NOT WRITE BELOW THIS LINE � (�q��
SUB TYPES
Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch(ScreenlGazebolPergola) _ Misceilaneous
_ 01 of_Plex � Lower Level _ Pool _ Accessory Building
WORKTYPES �ihc�� ��Sc4u�k�
_ New _ Interior Improvement _ Siding _ Demolish Building"
Addition _ Move Building _ Reroof _ Demolish interior
� Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall 'Demolition of entire bui�ding-give PCA handout to applicant
DESCRIPTION �
Valuation }�tS 2a, Occupancy �C Z MCcS System
Plan Review —� Code Edition lS►^'►SRG SAC Units
(25%_100%�) Zoning -�_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction;� Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/ No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
�( Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By:�t� , Building Inspector �'I
RESIDENTIAL FEES �'
Base Fee 33` X v�-.�j ^ ��'�, .3°I
Surcharge � 2�� �
Plan Review
MCES SAC �'Z Co � /\ �-�� �
r-
City SAC �
\�0��.
Utility Connection Charge �
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129490
Date Issued:02/17/2015
Permit Category:ePermit
Site Address: 4725 Weston Hills Dr
Lot:017 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-170
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.
Applicant: Troy Good
3670 Dodd Rd
Eagan, MN 55123
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 -
Leonard B Fields
4725 Weston Hills Dr
Eagan MN 55123
(952) 270-7216
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130038
Date Issued:03/31/2015
Permit Category:ePermit
Site Address: 4725 Weston Hills Dr
Lot:017 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Leonard B Fields
4725 Weston Hills Dr
Eagan MN 55123
(952) 270-7216
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129490
Date Issued:02/17/2015
Permit Category:ePermit
Site Address: 4725 Weston Hills Dr
Lot:017 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-170
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.
Applicant: Troy Good
3670 Dodd Rd
Eagan, MN 55123
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 -
Leonard B Fields
4725 Weston Hills Dr
Eagan MN 55123
(952) 270-7216
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
�c�'.�.14�.�,�� �. ��' ia�;������
Use BLUE or BLACK Ink
�-----------------�
� For Office Use � �
' I � � 1 �� I
� Permit#: � �r i��
��� of����Il � �
� � ,
I Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 R E C E I V E� ; Date Received: �
�
Phone: (651) 675-5675
Fax: (651) 675-5694 ,J�N �.1 ��15 i Staff: �
� /
L----------------�� �
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION � ���\/��
Date: � '� `1—20� ) Site Address: "L�Z'S ��� �t�� QI' �✓l �J 5 S�2� �"\
Tenant: Suite#:
�`� ... ;;:.�� .� \
' ���� � Name: ���� �P��' �,� �'d;�+�t-�. Phone: � `J�., -2.`�Lt) ' ��Z�(o �5 /
�2�:stder��IC�w�er�
�� ��-� � Aaaress i c�ty i z�p: �-l.`� Z-S � �-�"� �h�ti� �,� � P.�t�r�� ss"l2�
� �
� Name: �'�S�?7�V� CQ�;I/lV✓�� �"' "`� �'V�,�License#: � C �t'I�-I 3S�
' ���'i��'�C��?�' � Address: �� UU�C �.•�.��2-- City: � �`���
- � State:�_Zip: ���Z�— Phone: � �S 1 ' ��� ���'���
��� � � �1-e��'�(j�r� 5��
Contact: 1" v\ �f-2 Email: �� ��Y"� • �--t�
y.����,���rk �`' _New _Replacement _Repair _Rebuild X Modify Space _Work in R.O.W.
� —
� �t�� Description of work: �� �PN'�� t�� ����1
`- �'= i RESIDENTIAL � �
Water Heater
Water Softener
� Lawn Irrigation�RPZ/_PVB)
��fri'1�t TypE: � � � Add Plumbing Fixtures�Main/ �Lower Level)
Septic System —
� ,..� NeW Water Turnaround �
�= �� � � Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.0o State Surcharge)
*Water Tumaround(add$200.00 if a 5/8"meter is required)
$115.00 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.gopherstateonecall.ora
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 wit o t a permit; that the ork �II b� in
acco dance with the approved plan in the case of work which requires a review aQgr�av1_al�of plar�'.G� � �-��zl ,% J���_._,�
///� �. � � � �_�
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Applicant's Printed Name ApplicanYs Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176021
Date Issued:04/27/2022
Permit Category:ePermit
Site Address: 4725 Weston Hills Dr
Lot:017 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Sm Investments Rp
11357 Apennie Way
Inver Grove Heights MN 55077
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature