4795 Weston Hills Dr
41P
W"erfificate vf cccupanc~
Wit4 of Cfagatt
~oorineut ~ 3460eeflon
77tes Cer-ticate issued pursuant to the requirements of the Uniform Building Code
certifyrng lhat aJ the time of issuance tleis strrecture was iR compliance with the various
ordinances of the City ?iegulating building construction or use. For the following:
Use Qassifcatian~DWG Bldg. Permit Na. 23084
Ooaq?mcy lype R3 IM I Zoning Disuict R I Type Const. 1VN
a,,,,a .(B,,;a;.1BM0FHW HQ~',S Address 1 I 350 AI$AVAR PAIH, I(H
s,,;ldi„g Adde. 4724 SiRATFDRD LAIVE Local;ty L 15, B 1, 4JESICN HIIdS 2ND
nue:
Buildio6 Official
POST IN A CCNSPICUOUS PLACE
~ . INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ~
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
/ , . I aMI
, • ~t~ ~ , ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
i
I fl .~il !1 I E~iF~ i 1 i•r I I h~ ~
~ J
, PermR No. Permit Holder Date Telephone !k
SNV
PLUMBING
HVAC
ELECTRI /G 9D • . 4"M ~
ELECTRIC
Inspection Date Insp. Commsnta
Footings I -1/"Z
Founderion
Framing
Roofing
R°"g'' Plbg.
Rough Htg. - -
47`
l5ul.
Flreplace
Final Htg. hOP
Orsat Test
Rnal Plbg. -/0- 9 j(1 PI or - ify P r
~v
Cortst. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ^i~' ~ •
(612) 681-4675 ~ G
SITE ADDRESS: APPLICANT:
PERAAIT SUBTYPE: TYPE OF WORK:
1, ,
INSPECTION .
~ ~
Permit No. PermR Holder Date Telephons #
S/1N
PLUMBING
• HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Commenb
Footings I
Foundatlon
Framing
Rooflng
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fin81 Fitg.
Orsat Test
Final Pibg. Plbg. Inspecta - Noti(y Plumber
Const. Meter
EngrJPlan
Bldg. Final
Oeck Ftg. g ~
Deck Final ~
Well
Pr. Disp.
Renewal By Andersen RE$IDENTIAL
350-73rd Ave. NE ILDING PERMIT APPLICATION
Fridley, MN 55432 CITY OF EAGAN
763-502-4777 3830 PILOT KNOB RD - 55122
#MN20130983
657-681-4675 ~
New Construelion Reauirements RemodellReoair Reouirementa
• 3 registered stte surveys showing sq, ft, af lat, sq. ft of house; and ~11 roofed areas • 2 coDies of Plan
(20% maximum lot coverage allowetl) . 7 set of Energy Calculatlons for heated additions
• 2 copres of ptan showing beam & wlndaw sizes; poured found design, etc.) . 1 site survey for exlerior additiore & decks
• 7 set of Energy Calculations . Indicate'rf home served by septiC syffiem for addNOns
• 3 copies M Tree Preservation Plan'rf IW pletfed after 7l1193 00
. Rim Joisl Detail Oplions seledion sheet (bldgs wMh 3 or less units) / U
I DATE c
O ~~C_IYLQ ~ O I VALUATION ~
JOB SITE ADDRESS y195 ~,SiC~flti ~e~i 1lS ~~(~.k ss-Q
If MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OW R
TYPE OF WORK FIREPLACE(5) _ 0_ 1_ 2
APPUCANT PHONE#SkQ •3y.~~ ~0~~~
ADDRESS ZIP CODE
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULFS 7692
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing System Includes: ~ Water Softener _ Lawn Sprinkler Fee: $90.00
~ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. Phone #
Mechanical System Includes: ~ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor. Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the i ation i By , and agree to comply
with all applicable State of Minnesota Statutes pnd City of Eagan Ord' ances.
SlgnaFure of Appt(canf
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1JDt
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - 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 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10.plex ? 19 Lower level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 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 Windows/Doors
? 34 ReplacemeM ' *Demolitlon (Entire Bldg only) - Give'PCA handout ta appllcant
Valuation Occupancy MC/ES System
Census Code Zoning , City. Water '
SAC Units Stories BoosEer Pump
Nbr. of Units ` Sq. Ft. ' PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ InsulaHon _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC(ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search .
Copies
Other
Total
OFFICE USE ONLY This request wb 18 moMhs irom valitlalion tlate pnn[ed in this box.
364-428 03
G/~3~~'7
PLEASE PRINT OR TYPE
Request Oate qoiigh-In inspection required? ~ Ves [1,~ No Inspection Olher Than Rough-In: ffi Reatly Now ~ WII Call
6-1- 9 7 (vou must ca~i ine insPecto. when reaevl Da[e Reatly:
I, 9 licensed contractor ? owner here6y request inspection of the above electrical work at:
.bb Atltlress (Sireet, Box, or Rmte No.) City Zip Code
4795 Weston Hills Dr. Eagan
Section No. Township Name or No. Range No. Fim No. Cmney
Dakota
Occupant Phone Na.
Mike Schaff 686-6158
Power Supplier Atltlress .
Dakota Electric. Farmin ton
Electrical GorRractor (~mpany Name) Conlraclor License W. Masier Lic. No. (%anl Elecl. Ony)
Roehning Electric CAO 1557
Mailinp Pdtlress (Conhactor or Owrer Perrorminj Insr.illatbn)
14811 Endicott Wa A le Valle 55124
Aulhoriz Nre (Contmctor or ~r Pertor irg Installation) Phore No.
~ 423-4328
EB-ODOOtA-11 8/95 STATE BOARD C - SEE INSTRUCTIONS ON BACK OF YELIOW COPY
UEST ECT Mirtn~esota StaO B aLd of EPoCALtyNSPECTION
II I II II I II I I I I II III I I II IIII III III 1821 University Ave., Rm. S- 8. St Paul, MN 55104
* 0 3 6 4 4 2 8 3`-` Phone (612) 642-0800 ¢ j~ 7
Home Duplex Apf. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. 1 7- Load Mgmt Other
Dryer Range Elec. Heat Temp. Service
"X" above fhe wak coveretl by this request Enfer remarks in fhis space and on the b3ck oi the whiffi c[py only.
Wire A.C.
Cakulate lnspection Fee - This Inspection Request will not be accepted withouf !he conecf lee:
Other Fee x Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps _----J+-fD-to-44aQ Amps 15.00
Sireet Ltg./Traffic Sig. Above 200_Amp Above 10 Amps
TOTAL
Transformer/Generator MSPECTOR'S USE ONLV zo
Sign/Out
line Ltg. Xfmr. 2 0. 50
Alarm/Remote Con}rol ~ Swimming Pool I hereby ceriiy Iha insper.fetl tha e ieal installation tlescribed herein on Ihe tla[es atatetl
Ifflgdii0fl BOOfII Raigh-In ~ah
Special Inspection
Final Oat
Investigative Fee 2;3
THIS INSTALLATION MAY BE ORDERED DISCO D IF N WITHIN 18 ON S.
y~7 f G/70/~Ja~so99d` /99Y
~ 16 9'0 k v ~7r
Repuest Da[e Fire Na. Rwgh-In Iopsection Requitetl Inspedfon OtnarThan Fougn-m
3- 3 0- 9 4 (You mueyt cell iire0ector when reaay) ~ Ready Naw ? Wiil Notify lnsp ctar
iy'!' Ves ? No pate Reatl
IXAicensed contractor ? owner hereby request inspection ol ahove ele al work
Job Atltlress (SVeet. Box or Foule No.) City 4 STRATFORD LANE E G
Sedion N. Township Name or No. Fange No. Counly
DA TA
Occupant(PRINT) Phone No.
BENCHMARK HOMES, INC.
Power SupPlier Adtlress
DAKOTA ELECTRIC FARMINGTON
Eleclrical Convaclm (Company Name) ConVaclor5 License No.
MIK-LYN ELECTRIC COMPANY CA01246
Mailing Atldress (GOnhaobr or Owner Making Inslailalion)
1305 JEFFERSON HIGHWAY, CHAMPLIN, MN., 55316
Amhar 0 Signeture IC ractodOwner Making Installa0on) Phone Number
421-7714
MINNESOTA STATE 80ARD OF ELECTPICITV THIS INSPEQION REOUEST WILL NOT
Grlggz.Midway Bltlg. - Room &193 BE ACCEPTEO BV THE STATE BOARO
1621 University Ave., SI. Paul, MN SSiOA 94-08 5 UNLESS PROPEF INSPECTION FEE IS
PM1One (611) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooom.os
~TV'77, ? See insimctions for completing fiis form on back of yellow copy. ~
i
, . ~ Q + O Be/ow Work Covered by This Request
e Add Rep. TypeofBUilding AppliancesWired EquipmentWiretl
g Home Range Temporary Service
Duplex Water Heater EleCtric Heating
Apt. Buiidin9 Cryer Loed ManegemeM
Comm.llndustrial g Fumace X ther (Specily)
Farm AirConditioner IXILIGHT FIXTURES
Other (syectyl Conlrador's Remarks:
Compute Inspection Fee Below:
S Olher Fee # ServiceEntrance5ize Fee # Circuits/Feeders Pee
Swimming Pool X 0 to 200 Amps 2D.00 1o 0 ta 100 Amps 50.00
Trensfarmers Above 200 _ Amps Above 100 _ Amps
Signs mspeciots use only: ~ TOTAL
IrPgation B ms q
~ ~ 7 f..l ~
s eciai ins ection
AlarmlCommunication
THIS INSTALLATION MAY BE OR -D;SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18, ONTH .
I, the Electrical Inspector, hereby Rougn-m oece
certify that the above inspection has Flnal Date ~
been made. OFFICE USE ONLV q ~
This repuest voitl 18 months imm
Address 4729 srRarFORn um Zip 55123_
I.ot 15 Blk i Sub wesmrr KMLs 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: (t a Yes No Inspecror:
Final grade (6" from siding)
Permanent steps (gazage) i/
Peimanent steps (main entry)
Permanent driveway ?
Permanent gas V~
Sod/Seeded grass
TraiUwrb damage ~
Porch
Basement 6nish ~
Deck
Please verify with [he builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potendal exists.
Contact engineering division at 681-4645 before working in rightof-way or ins[alling undergroundsprinkler system. ~
White - City Copy Yellow • Resident Copy Pink - Contracwr Copy ,
-11LPM ~ ?5 ,E~o
2005 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 11 f~1 11 I~r ~~S I J~. Unit #
Site Street Address F-1 " ) ~
Property Owner..-M3 EC. Telephone # ( )
Contractor I TIenlephone #
Address~ ~I ! City nS1/ V I I"-- StateZip~
The Applicant is: _ Owner -X`tractor _Other
~
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener andlor water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 518" meter is required)
Other:
Water Softener -J~Water Heater $ 15.00
_ new ~ replacement
Lawn Irrigation _RP2 _PVB _new _repair _rehuild $ 30.00
State Sureharge $ .50
rotal ' $
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 eve t a plan is required to be reviewed and approve . ~
~ ~-~~~1
App icanl Ys Pnnted Name Ap icp anYs Signatu
2005 RESIDENTfAI. BTJELDING PERNIIT APPLICAITON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 0 651-675-5675 FAX # 651-675-5694
New Consfruction Renuirements RemodellReoair Reauiremems Oftice Use OnN
3 registared s'de surveys showing sq. R of l04 sq, ft. of house; and all roo(ed a2as 2 cropies of plan Cert of Survey Recd_ Y_ N
(20% maximum lot coverege allowed) 1 set of Energy Calculalions for heated add@ions Tree Pre8 Plan Recd_ Y_ N.
2 copies ot plan showing beam R window sizes; poureA found design, etc. 1 site survey for addttions & decks Trea Pres Required _ Y_ N
7setofEnergyCalculations Addifion-6Mkate'rfwrsdesepUcsystem OnsReSepticSystem _Y_N
3 capies of Tree Preservatlon Plan if lot platted atter 711193
Rim Joist DetaB Opllons seledion sheet (huildings wiih 3 or less untts)
Date 194 l 10 l0 's / J ConstrucNon Cost
Si[e Address jL-les / tr /~l~ ~ ! ~ Uoit/Ste #
Description of Work fG400! /'5 "N' N~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner e2i 1(C 5C/!,A rp Telephone # (6~ ) ,l' l D 87 3 ~
Cootractor v?zf~Ue
Address °J700 13ZX Ati-[ CitY Z?
State /_77/~/ Zip SS Telephone # (763 o.? 2~t-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUII.DING
- Minnesota Aules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionlype) Submitted SubmiBed
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Wafer Contractor ielephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codas of the City of Eagan and the State of N1N
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 plan in the case of work hich requires a review and
approval of plans.
fu.PD v ~
Applicant's Printed Nam ApplicanYs Signature
OFFICE USE ONLY
Su6 Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 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 Deck ? 23 Porch (screen/gazebo) ? 36 Muki Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement `Demolition (Entire 81dg) - 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 Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumhing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ SWCCO _ 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
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
U6/V!/ZVUl 1riU 1G:JV rtid fOJ O/1 4400 KT,1VCriAL riYA1VUCnJCiV • tgJUVL/UUL
re ' a1
BYANDnsEN'
7une 7, 2001
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
To Whom It May Coecern:
Elder Jones is suthorized to puil building permits for Renewal hy Andezsen_ Please allow
Elder 7ones to provide this service for us in Eagan. 'I'his authorir.aticm is valid for any
date beyond 6/6/01; until aRenewal by Andersen manager expressly revokes it in wridng
to the City.
I requESt tlus authorization be accepted expedidously, as to not delay in the processing of
our building pcmuts any furthcr. Plcasc cail mc if t3icic azc any questiuns. I can be
coatacted at 763-502-4706.
~
Your immcdiate attention to this mattcr is appreciated.
Sincerely,
yinond R. Rau
nctallation Manager
Renewal by t#ndersen Corporatian
C'r,: Kara-F.lrie.r.innes
MM. ELGpMAL
ry Fub1iC
nCSOffi
EtpircS.Ltp 81 2005
Received Time Jun, 7, 1:07PM
? fJ,':a.~ .t
06i0E/95 09: 35 DAINTA CQMTY-WESTERN SFRU. CTR. 001 o,• \
MUNZCIPAL NOTICE OF WELL PfiRMIT APPLICATIUN
DASCc7TA COLTn"L'Y $NVI?2QNMENTRI, MANAGEMI3NT DE2PiRTMENT
WATER AND SAIVD MANAGEMENT 5!3CTION
14955 Galaxie Avenue Weet, Apo1e Valley, MN 55129 ~
Te'_ (612) 891-7011 Fa~ (612) 891-7031
I.
DATE: June 06, 95
f i
; TO: Tom Co].bert/Wayne Schwanz Pax (612) 681-4512 '
f
3
, .
i I'RqM_ T?atex and Land Management
~ RE: We11 PeT.^.tit 95-9136 W611 ZypC: seali,ng l
Muts!cipality : Eagan Reviewer : Olson I
I NOTSCEt
! The Water aad Land Management 8ection of the DakOta Couaty Exivironmeatal
ManagemcnC Departmene hae receive8 the Pollowing parmit application fox
i cha we:!1 ciescribed. If you require futher reviaw of t,he application or
1 if you have any queationa or cancerns about it, contact the 8ttYlr6nmenta7.
Specialiat lieted above vr our office at (612) 891-7011. If Chexe Is no
~ reaponae frrnn your office withln 24 HO~JRS (excluding weekends and
hola-days), wa wi11 aaeume that you have no objectione to the issuance of
I the permit. Please note that permit issuance is a?.ways conditioned on
~ the permir- appllaant'e oboervance of anA compliance with a1l applicable
laws and codes. A copy of the well permit wz11, be forwpr8ed to your
~ ofiice when completed. I
, WELL CONTRACTOR INFORMATION:
~ Hasott Drilling 3ervice
~ Apolication Received: 06/02/95
AnCicipatad Dri].ling/Sealing Date if known: 06/05/55 Time: 12;00
I LOCATION OF SQELL: ,
~ PLS Caordinatea 3f, NE NE 3{o NE i,(, $gC 36, 1bpR1 27 ~ Range 23 ~ Well LocaCion47waston Hille Dz i ProperCy bwner Pine Edge Aevalopmen .
We11 Owner Pine Edge Aevelopmen
~ PID Number
i
; WELL xNFORMA.TION:
Diameter
~
Caeingdepth 225
.
: Total depth 255
' SWL 125
!'aquifer unconeolid'ated sediments
~ COMMENTS:
. ~
~
i'
i
R-949 612 891 7127 06-06-95 09:35AM P001 SF2 i
57690 PINES EDGE 1ST
83750 WESTON HILLS
83751 WESTON HILLS 2ND
WESTON HILLS DRIVE PAGE 2 UF 3
4683 10 83751 040 OS
4684 10 83751050 02
4688 10 83751 060 02
4692 10 83751 070 02
4696 10 83751 08002
4700 10 83751 090 02
4701 10 83751 13005
4704 10 83751 100 02
4707 10 83751 14005
4708 10 83751 110 02
4712 10 83751 120 02
4713 10 83751 15005
4716 10 83751 130 02
4719 10 83751 16005
4720 10 83751 140 02
4724 10 83751 150 02
4725 10 83751 17005
4731 10 83751 18005
4737 10 83751 19005
4790 10 83751 160 02
4795 10 83751 15001
4800 10 57690 010 Ol
36
RECEIPT #28044
06/17/94
city oF eagan
THOMASEGAN
Mayar
PATRICIA AWADA
SHAWN HUNIER
CHANGE OF ADDRESS SANDRA A. MASIN
THEODORE WACHTER
Council Members
THOMAS HEDGES
CiN Adminisirator
•7 ~Z9 14 E. J. VAN OVERBEKE
OLD ADDRESS: City Clelk
hEW ADDRESS: 1174s G"~s~~? ~~l ~iY.
LOT /S BLOCK /
PLAT NAME //U`cs~c~ lV • l~ Z~~~°j"'
REASON FOR CHANGE: Dar/~~slY~,~yyytiC"c
(SIGNATURE) (DATE)
C. 5,!-"f
MUNICIPAL CENTER THE LONE OAK TREE MAINiENANCE FACILITY
3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV 3501 COACHMAN POINi
EAGAN. MINNESOiA 55122-1097 EAGAN, MINNESOTA 55122
PHONE: (612) 681-4600 PHONE: (612) 681-4300
Fnx: (612) 6e1-4612 Equal OpportunltylAfilrmaTive Actlon Employer FAX: (612) 681-4360
TDD:(612) 454-8535 7DD:(612) 454-8535
A/ CITY OF Ec4GAN PERMIT cRZIL5q
3830 Pilot Knob Road PERMITTYPE: gUILDING
Eagan, Minnesota 55123 Permit Number: 023983
(612) 681-4675 Date Issued: 0 6 J 2 8/ 9 4
SITE ADDRESS:
4795 WE3TON HILLS DR
LOT: 15 BLOCK: 1
WESTON HILLS 2ND
P.T.N.: 10-83751-150-01
DESCRIPTION:
B"uilding Permit Type DECK
Building Work 7ype NEW
`
~
~
~
;
f ri~ ~-,~,1 C~ ~ t~~r= r,il
;r
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - qpplicant -
SCHAFF MICHAEL
4795 WESTON HILLS DR
EAGAN MN 55123
(612)223-3946
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
5tatutes and City ofi Eagan Ordinances. J
APPLICANT/PERMITEE SIGNA E ISSUED BY: SI RE
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: auzLorNG
3830 Pilot Knob Road Permit Number: 023983
Eagan, Minnesota 55123 Date Issued: 0 6/ 2 8/ 9 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 15 BLOCK: 1
4795 WESTON HILI.S DR SCHAFF MICHAEL
WESTON HILLS 2ND (612) 223-3946
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION .
FOOTINGS FINAL
F
L
. - ' - - ~ ' ` - - ~
. CITY OF EAGAN
mqt3 1994 BUILDING PERMIT APPLICATION
681-4675
LAJ,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registere py of energy
calcs.
~'a
COMMERCIAL 2 sets of architectural & s ructural plA9s94 i et of
specifications, 1 copy of e Ealcs-____
Penalty :pplies: 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 issue.
Date a.7 //9Valuation af work
5ite Address: ~rM ~ll.S dR~aB Eiv9~? Ss/~t3
STREET SUITE #
Tenant Name: (commercial only)
LOT BIACK _L SUBD. ~U'4_A P.Z.D. #
Descri tion of work: ~Tl3JU~ ~~C~
The applicant is: _15r~Owner ? Contractor ? Other (Describe)
Name Sc,~iv/~'7r Phone 6P6,
Property LnsT fIRST o?a3•39y4 D.~I1
Owner qddress
STREET STE M
City ~9.oN State 1'3W Zip »~a3
Company Phone
Contractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address City State Zip
Sewer & water licensed plumber Processing 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 5tatutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY M '
BUILDING PERMIT TYPE „ •w
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory 0 18 Comm./Ind.
? 04 Sf Porch ? 09 12-Plex O 14 Fireplace 0 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. M 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
,0 31 New ? 33 Alterations ? 35 Tenant Finish 037 Demolish
? 32 Addition ? 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 Stories Footprint 5q. ft. Fire 5prinkler
Length On-site well Census Code
Depth On-site sewage SAC Code o/
APPROVALS eensus Unit ~
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site U Footing ? Framing ? Insulation
O Wallboard ~ Final ? Draintile ? Fireplace
Permit Fee veiLac;m: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatmertt Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
K u, U vw , I y « .
u~rrcres~= (612) 691-191~•FOx ti81-8~8(3
engihoe~rlii `A ,,~T. . ~.._~e ~,..,'.~~.,..........,,.,,__.~,,...~_.s
ry lAlq PLNIHCNS I L.WOSCME tNtlNl[CIS 828 Hlqhwoy 10 Nurltioesl
*
Blolne, MN 551J4
(612) 783-1890-F"ox 783-1883
~
Cert?Ilcste o15utvey lor:_~NCN MARM: NOMES ~ i
STRATF41zD LANS NdRTII
djpl"S3'2gn
0 RofzS'G" 5 89°SBIaw"W d.
M qk 6~= ~90.
9~Sg.st1•l,x'~ 66. ~
'c,~ "'o;~L~, ` ~ ~`14P,a •o6%p
~
i p ' S Ri+iGS Q .S,
J
m.._. 30
rk T2AS4
i-c-o . K+16o_'} ~ ~ .
liB.ol 244o M MARK
~j , ~ x p~ rA ~ TL1'oPNUB
15.0'o e~v,S 9do,~7
N(v AR. N ~a,o o ~ ~
~ i~
N
i
iXR
Mp~ ' N r - a, I W
lbr
Nu k d I I~'R0~ NOUSE i ~ LLI
f'e.~ey ~ 9sQ Og i f I a N~ I ~ ~
C~' ~ Z1.7 z ~ N q p cp
i
r , o ~ N
m~ I / ~ ti~ ~s o d
m` x ui ~ N
0 r'
I "
s
~
LaT ts
. ~ N
••Pw~Varu N1Gl{WAY ~~MEu7 ~ ~
~ ~ pER tiesla 74- MIG, PM5@ 3g3
5 J M A5 sNowN aN n19 PLA7.~`
I J ,
o I t20•36 ? o • 3e
5 g9 ° 58' ay" W 964•,o
PROPO6ED OWAUES 8HOWN PER QRADING P1.AN BY~ p~136 ~~~~~~b~InlC
HO7E: QON7RAC701i MUBT YERIFY ALl DIMEN91pN5 AND DRIVEWAY DES16N.
N07E: NO SpECIFIC SOILS INVeBTIRATION NA6 dEEN COMpLFTEf/ ON THIS LOT eY TIIE &UHVEYOR.
1'HF. SUI7A91LITY OP 60118 TO SUPPORY THF 6P6CIFIC FIOUBfi PfiOPOSED I0 NOT THE RCBPONSIUIUTY OF THE SURVF.YOR,
TiIIE CBRTIMICATE DOEB NOT PURP4RT 70 SHOW EASEMENT6 OTNER THAN 7110SE 914PWN ON TIIE RECORDEU PLA7, -'......lla.
. onoo qeriatea Exlaling Elevan f~a45f r4EYAiIM
.00D panoies Propoesd Eiar•atton Lawcei Ffoor EIavuUan:.jXj-,';5
f?anotee Uralnaga dc Ulillly ~asernant 7op or eiock elevouon:. 9Gz
--•---penolea Dralnoge Flow Dlrectlon C<xnge 51tib ElevuUon:.96 1•3
---o-. Deriolea Monurnanl
..~.o-- Dnnulas Oflaet Flub Deorings shown aro assumed .
, WESTDN 141"s "d a"'pl rtoµ
LOT « , BLOCK
ve.kora COIINTY.MINNESpfA I
1 hoi WY tnUlY dul ILir suwoY. Plon or nporl wil prol)?rl~l hY ml pr ut1J•, mt;o3;m? hind Ilot I+m duiv Hcpil lsrcd lnl{I SurvoYOf
eetzi f/ I
~ vmpr ~h~ liw~ ol dls 81p1b VI Mimmold, Po led thl JoY aI ANL n.. A(lAtL s7oor fouus.a c~~Q,I hiclia 30 l:~e! 1~tvU GS' l(, , 1 Pt
a~.;z-.:,,--_- - •
.r~. ~wex. F
~ .
Y'."n:.Hi
¢......<......:~:s~,.::;: a<°:br~"f'
~
. » LY:..
<
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3530 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - - -
/1 NEW CONSTRUCTION ~
ADD-ON A/C ~
ADD-ON FURNACE
FIREPLACE INSERT
DAT'E 3/30/94
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU -1fim
GAS OUTLETS (MINIMUM 1 Ca? $3.00 EACH) _179
ADD-ON/REMODEL (ExISTING CoNSTRUCi'ION) $ zmH9
STATE SURCHAFtGE .50
TOTAL 3 3 - 50
SITE ADDRFSS: 471~" STRATF(1Rn T A1QE
OWNER NAME: SCHAFF TELEPHONE
INSTALLER: s2ATE iKECHANICAL INC.
ADDRESS: 5050 tia 220TH ST.
CTTY: FARP~IINGTON STATE: rtN ZIP CODE: 55024
TELEPHONE 463-8220
&o &
SI Aftg OF PITTEE
"yQ;~ ~E ~ ~mc $aF~ a~ ~z~""~Zc~~ ~ °k k{ S€ Q 4,~~a€ ~ e ~ ~~~o._r ~•a's~~e e s ~ s~ atg~c,~,
Y~ ~~aA"'.;,3..'~,z,~,;:g~,~`~e~ ~~a~dK's$°~~krb.~~a.~'~~k<~w~~Y~4~~y'Fs`se ~"e ,~('?~a.y,`d;a~'~~_v~~.£r~~''~~'„~..$'„ ~^~ci~k 3~~•'~'~~a~
1994 MECHAIVICAL PERMIT (COMMERCiAL)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCWI,/INDUSTRIAL BUIT.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTFER MUI_TI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
~
~ FE~.
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF M_;; FEE.
~
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME:. (nvBROVEMErrrs o1vI,Y)
INSTALLER:
ADDRESS:
CTl'I'. STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECfOR II
PERMIT ~~L'
/~'CITY OF EAGAN • `fy~
3830 Pilot Knob Road PERMIT TYPE: B u r Lo f N 6
Eagan, Minnesota 55123 Permit Number: 0 2 3 0 8 4
(612) 681-4675 Date Issued: 03 J17 /94
SITE ADDRESS: hQ ~ a,S on ~r ( prl~~/D ror ,}i e
a^TIlI1TCI19n
LOT: 15 BLOCK: 1
WESTON HILLS 2ND
P.I.N.: 10-83751-150-01
DESCRIPTION:
y
Bu3ldingLPermit Type SF DWG
@uilding W'drk Type NEW
8C Occupancy\ R-3 M-1
f ~ Construction Type V-N
~ Zoning R-1
~ Building Length ( 52
' Building Width 45
~ Building stories 1
~
i !
t r1
1 ~
K « l x
`~i~
REMARKS:
PRV S & W PLBR -
FEE SUMMARY:
VALUATION $99,000
Base Fee $635.00 MISCELLANEOUS $1,828.50
Plan Review $412.75 Total Fee $3,730.75
Surcharge $49.50
SAC $800.00
SAC $ 100
SAC Units 1
Lic. Search Fee $5.00
Subtotal $1,902.25
CONTRACTOR: - Applicant - ST. LIC. OWNER:
BENCHMARK HOMES INC 14509467 0009371 BENCHMARK HOMES
11350 ALBAVAR PATH 11350 ALBAVAR PATH
INVER GROVE HTS MN 55075 INVER GROVE HTS MN 55075
(612) 450-9467 (612)450-9467
I hereby acknowledge that 2 have read this application and state that the
inPormation is corrset and agree to comply with all a-pplicabie 5tate of Mn.
L 5tatutes and City of Eagan Ordinances. ~
f)ran ~.v~".cl.l Yh.,r(
PP ANT ERMITE IGNATURE ISSUED B SI ATUR
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suzLoiNG
3830 Pilot Knob Road Permit Number: 023084
Eagan, Minnesota 55123 Date Issued: 0 3/ 17 / 9 4
(612) 681-4675
SITEADDRESS: Lor: 15 BLOCK: 1 APPLICANT:
4729 STRATFORD LANE BENCHMARK HOMES INC
WESTON HILLS 2Np (612) 450-9467
PERMIT SUBTYPE: TYPE OF WORK:
SF pWG NEW
INSPECTION . .A
FOOTINGS FOUNDATION
FRAMING RDOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARK3: PRV 3& W PLBR -
F
~
L
CITY OF EAGAN ~
014 1994 BUILDING PERMIT APPLICATION
6814675 / . 99 i2~s4
$ 3 i F130 ~ 1 ~
~ _ .
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work ~709
Site Address: ~h2q ~~fYeac~y"b~-~l
STREET SU3TE #
Tenant Name: (commercial only)
. l~~ P.I.D. #10-bOH60-01
LOT I`.1 BLOCK ~ SIISD.G<-I~
Descri tion of work: 5_ .
The appl i cant i s: ? Owner Contractor ? Other (Desoribe)
Name Phone
Property LAST FIRST
Owner pddress
STREET STE M
City State Zip
Company Phone z~S U - 9c/4z'/
Contractor Address 1135~ License Exp.~
City State ZipS S~ 5
Architect/ Company Phone
Engineer Name Registratian #
Address '
City 5tate Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has bee 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. ~
d
Signature of Applicant: A,"
OFFICE USE ONLY
BUILDING PERMIT TYPE ~
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
,10 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Mist. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
p 31 New ? 33 Alterations ? 35 Tenant Pinish El 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V Basement sq. ft. 12s9 MWCC System
(Allowable) lst F1. sq. ft. 33o City Water ~
UBC Occupancy R- p.~i 2nd Fl. sq. ft. PRV Requlred
Zoning R Z Sq. Ft. total Booster Pump
# of Stories ~ Footprint Sq. ft. Fire Sprinkler
Length sa On-site well Census Code _707
Depth ~ On-site sewage SAC Code -07
Census Bldg ~
APPROVALS Census Unit
Plann9ng Bu91d1ng Assessments
Engineering Variance
REGIUIRED INSPECTIONS
O.Site [a Footing 13 Framing [B Insulation
? Wallboard El Final ? Draintile ? Fireplace
Permit Fee veiuactp,: g QQ, v~~• 6i'~
Surcharge 6•r.
P7 an Revi ew Co ~~r lev~ /
License 2 zo.s - 10 c = ~F7 z
Mwcc sac Z`/,A' yo " 9~ a _J-
City SAC z8,4'8 ` 22y
Water Conn. /s,aS `?5'
Water Meter 125 g /g~QBS
Acct. Depos9t ; ~
S/W Permit
S/W Surcharge P _.e~=---- r
Treatment Pl. z yk y z :/pDB ,
Road Unit zpX.0 _ 2-2y
Park Ded. 1sxS..S"= &-2,S
Trails Ded.
Copies 2 f-
Other ~33D,Soxsy= ~I~P`/~
Total:
SAC %
SAC Units
2422 Fnterprlae Drlvc
* Mendola Hetqhts, 1AN 55420
~ 948$
~ P0oNE~~ Lu,o sunvcroas • dtix er~eRS
....._,~._.,.,..~,:-:_-,-._::_-.:•-:~,...Q,::.-.::~.:.v»=~ 612 681-191~•Fox 681-
eneine~Piin~ tNq PLANl1ER5 • 4AHOSC+PE AROMT[CTS 629 Nighwoy 10 NortliCO%t
7f * Blolne, MN 55134
(812) 783-1980•Fox 783-1883
CaiH(Icate ol 5ulvey lor. F'ENCH MARK {-IOMES
STRATFORD LANS NORi1)
d:pl°53`29u '
0 K°l25.0,0 589°S9~o9~~W
9
9'64 i 951T s '7 °ISB.
9~;17.2'T ~,6.sz-- -
o~,,
'
960,9" /e
' t4
71'Ve T2~sW
.
aJ ~ros f x~ ~,AR. N 150'0 ~ ; TtPaFNUB
M
UnQ4 M~ N ~ ror°F 4Jk PRon uousE0 i w
9sa ~ 06
Z4-1 Z2 1 APO ~O.DOI ~ ~ ~y,
c}• 3 --~k°!59 ~ 959. xq59.2 zoll)?o ~ N Q
tU a- '
m.01 ~ ~o ~ o
i-• 0 6y ~ J ~ ' q ~ ~ ~
~
t, 0 N ~
~
A G I~Q'xE4N tuI%~~ G ~?E~
~
RfV1~1NE D~ la~ LD'T 'S ~ ~ !O
N
w
,
BY
Oc-I
~q'~ 3` O l~ •,-PFGiYAT6 41iGHwAY ~EMEf-l7 I I
Peg s~w, -74 Mr., PMSB 393 ~
AS 5NOU~N oN TNC Pu+T-,` i~ 16
L - -
o ~ IZ.O•3g 1 ~ 0 : 30
957.5 -
589°SB`o9~~w ~640
PROPOSED 6HAOES 8MOWN PER (iHADiNG PLAN BY' r- ~ i
NOT6 CONTRAC70R lAUST V6RIFY ALt DIMEHStONS AND DRIVEWAY DESIG~B ~ e 1
NOTE: k0 SPECIFIC SOitS 1NVESTIGATION HAS dEEN COMPLE7ED ON THIS LOT ev 7HE SURVEYOR.
TME SUITABI4ITY OP SOILS Tp SUPPONT THE SPFCIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILi7Y OF TNE SURVEYOR.
TNiS CERTIFIGATE DOES NOT PURPORT 70 SHOW EASEMENTS OTHER THAN 7HOSE SHOWN ON THE flECORDED PLAT,
. ccwo benqtes Exiating Elevailan pROPASED HQUK EI..EVATIUN
.(OD penolas Proposed Elevallon Lowesl Floor Elevution: ,711_,>
Denoles Urolnage k Utilily Eosement 7op ot Block Elevallorti: ~62
penates Drainage Flow Directiori 3
Denotes Monumenl Goroge 51tib Elevnllon: 9G!
..~.ri- Denoles Otiset Fiub Beorings shown are assumed
LUT ts , BLOCK E WESTON KILLs ZNa a0olTt0l`t
PAkoTA COUNTY. UINNESpiA
1 ho~ WY cOidlV lhet ILir 4U1VeY. PIgn ar rOpUli Wif ptBvifad 6Y me Of N44er m~dfreCDpNtl(vkianlnd Ihat 1 ual JwY HeyuloraJ Lenl Survevor
5Nh
unlv IFn law~ ol Ih~ Slat~ ul Mlnneiola. PeIed Ib) "'d d0Y al AN4 R. A.D. 19
51l~ p: PION6ER@ CaN
REUrsev 3~r-44- 4-a p rrF~ Hous£ - Gn"
;
r'
6 ~
lnwh, 30 fie!
.`Y~C~~~;.._.~._......_......._._
!AT lORVLY CSECKLIBT FOR RLSIDLNTIIIL
. ~ BCZLDIN pZRliIT 71P L=G1TZ024
BROPERTY LEO71Lt~i
Dat• of surveps 5~, '~'1T
DOCIIMENT BT~ND A 6 Y/ / I'~J~~ 1
8~0 O • Registered Lnnd Surveyor siqnature and company
B' 0 ~ • Building permit Applicaat '
L•YO 0 • Leqnl deBCription
D'0 0 • Address
8"` 0 0 • North arrow aad4ar scala •
LY D 13 • Honse type (rambler, walkout, spiit w/o, split entry,
lookout, etc.) .
8~0 0 • Directionbl dzainsge asrows with slope/gradient
6"~0 0 • Proposed/exiating sewer and watar services
8~~,] 0 • Street name
0' ~ 0 • Driveway
ELLV7ITIONB
Existina
0 0 • Sewer aervice
0 0 • Lot corners
@'-10 0 • Top oi curb at the driveway
8" 0 0 • Elevations of nny existlnq edjacent homes
prooosee
~ 0 0 • Garage floor
~i 0 0 • First floor
D 0 0 • Loweat exposed elevstion (wnikout/vindow)
~ 0 D • property corners
V0 0 • Front and rear of home at the fodadation
pONDING I1REf18 fif apolioablel
D H~ D - ~Lement line
0 ~ C) • HwL .
D 6~ 0 • Pond # designation
D ~0 • E7eergeaoy overilow Elevntion
QIASENBION8
ET 0 0 • Lot linea
0 • 8iqht-cf-wey snd street width (to back of curb)
v0 • pzopoaed Aome dimensions includinq any pzoposed decks,
overhnng8 greater than 21, porches, ate. (i.e. all
structures requiring permansnt tootinqs) 0'0 0 • Show all ensements of seeord and any City utilities within
those eesements
~Y 0 0 • Setbacka of proposed struciure and setback of adjecent
existing homes 0 a' 0 • Retaining yzVPrequ ement"s, if dny
Reviewed: ~
Nam / nt -
October 1992
,
. .
-
MH- 1 1 MH-'l 2 ~VlH ._1.3.. . . MH-13
STA. :15+20 3' RT. c STA. 15+95 2' RT. t STA. 17+45.67 (STRaTforro L^?+E)
TOP = 954.23 TOP = 955.94 TOP =:958.59 ¢ STA.: 0+00
TOP = 858.59
. :
.fINtSHED PR~F..
. . . .
. . . _
;
- ;
~ m ~
, . pIP
- ' 12" DIP ~,pp p1P ~ 2
o • .
~
m
~ . 10 ,r . . . : ............_........i.......................:........
T
_ : .
t.................._.....:.._... . , .
_ 207' 8"'PYC
:
75'=8" PVC 1514-8" PVC @ 0 40% ~
.4~'' @ 0.40% SDR 35 SDI
YHE CIT1f OF EAG N DOES NOT GUARANTE. ;
.
- ..TkIE ACCURACY. OE ..UTILItY: LQCATI01d Y.
; . . . . . : . .
- - - AAIDlOR ELEVATI NS. THIS DATA IS F
. ; . .
i....... : INFORMATIOfd 12URPOSES ONLY AN
. . . .
: - - - : PERSOMS UOW?N iT SHOULD :VERIFY TH
:
INFORMATION 0 THESITE.
. . . ~ . . .
. .
~
...1$.._.............. .M.
.Nf
....._...._:.....OI ..N . i. : . i to
....:.............__..cri.......
, ~ . erf : rr : e+f
• .
.::.:::::::.:::.'.r0?::..:.:.:._.:.:.;...~.:.::::::.::.::..to.:.... . : . . m
. ~ : .
.........._:......~J : . . . . . . i . ~ . . ~ .
. T
. ' , .
' . . . . .
'
, . _ . ; . . .
Apr . : ~ ...............z
:nTi%ivR EIil'E,CP. A;,EP,RrE 'U' CC4P6'?AT:Ck
MC4TGCMEP° DESIGR t BUiID CO
;1350 A,°A4AR PA?4
IuH, kN, :50S
KOCEL LEk7ku?0": AP,EA U U h AREA
:CBIP,ED
1. ?0?bL KkLL A°ER 1926 .11 e00
PCOF kPER 12'tB ,~25 :Y
:NIE1'ED
y vi~mnu AREA 109 .23 :S
VV11 f.l
3 D00° AREA .Cii 3
S1:D 1;5 Sl1,SS AREA 78 ,5 33
) FIPEPiRC: R°Ed 0 p
. YRtI FFRME AREA !92 ;t ?
• kET WRLL R°EA 1322 .04: ES
i °Ik JOIST AREA t~E .0;35 6
I FCU„D k:kCOk AREA 0 .5 G
COUhI IMI A
i D R,,,E ~R„CE 83 „35 I!
3. ?Oipl k'RLL kREk 141
1 SKYI:iC ,5 0
( P,CDF Fr",AR: 122.5 .032 4 •
L AET FCOF nFcA 1105.2 10e2 2;
TOip.L ACCf AREA 28
SUk Cf 1.+2. _ye
SUH CF 3.t;. 225
:
x k~_........_...~,. _
..,.we;o' .:Y'.:': : 6a.~+."~.:kAnx.~;,<~~:~~sq'.s~.. '•n1:% .
sz`u'~~`~~
n
$..8t i.~~~ N :#..`~~~:~E: :;~~?~~Fx,i x• 'Ciw 5
c,n . . . y.~ ~ . .
:..x s,.a.w,.w.< .n.n . . . . b~~:...z§~ . x
. u. ' :asa" J. . . . . • ' . . . ~m::'x.x~w'~L.u. 2'aFd: ~oa.ae ~ ~ ' . . ~ M.
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
NO. FIXT[JRES EACH TOTAL
L SHOWER 3.00 6, a-o
3 dW- WATER CLOSET 3.00 9, "
~ BATH TUB 3.00 3 . 0,-o
~ LAVATORY 3.00 9 1-0
KITCHEN SINK 3.00
_L LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
/ WATER HEATER 3.00 .3 , d-d
_L FLAOR DRAIN 3.00 3 r ~
~ GA5 PIPING OUTLET • minimum - 1 3.00 b~ O-O
ROUGH OPENINGS 1.50
WATER SOFI'ENER 5.00
pgIS7e'?'E I?T.SP. * aaiLcty. ii~ 20.00
U.G. SPRINKLER • nom undu wut. 3.00
ALTERATIONS • w ctiscing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL~:/ S, ~D
SITE ADDRESS: 47~"s ~TRATFORD LANE
OWNER NAME: scxAFF
INSTALLER: STATE MECHANICAL INC.
ADDRESS: 5050 W 220Tx sT.
CI.I.Y: FARMIIUGTON STATE: MN ZIP COD$: 55024
PHONE 463-8220
i~'~w
~'SIGNATU~RE OF'PERMITTEE
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1994 PLUMBING PERMIT (COMMERCIAI.)
CITY OF EAGAN
3830 PILOT KNOB RD •
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WI-iEN SEPARATE PERMiTS ARE NOT REQUIRED FOR EACFi
DWELLING UNTI'.
_ NER'CONSTRUGTION
ADD ON
_ REPAIIt
WORK DESCRIPTION:
CONTRACT PRICE: S
FEE: 196 OF CONTRACf FEE.
STATE SURCIIARGE $.50 FOR EACH $1,000 OF FEE.
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT I+iAIvIE: S'TE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITi'. STATE: ZIP CODE:
PHONE
FOR:
CTTY OF EAGAN AppLICqN1^
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4795 Weston Hills Dr
Lot: 15 Block: 1 Addition: Weston Hills 2nd
PID:10- 83751- 150 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Surcharge - Based on Valuation $2K
BL - Base Fee $2K
- Applicant -
Construction Type:
Occupancy:
$1.00
$69.00
$70.00
Owner:
Michael D Schaff
4795 Weston Hills Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120
Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6047 kara @elderjon es.com
9001.2195
0801.4085
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA073637
06/05/2006
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4795 Weston Hills Dr
Lot: 15 Block: 1 Addition: Weston Hills 2nd
PID:10- 83751- 150 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Michael D Schaff
4795 Weston Hills Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA078063
06/04/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4795 Weston Hills Dr
Lot: 15 Block: 1 Addition: Weston Hills 2nd
PID:10- 83751- 150 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Michael D Schaff
4795 Weston Hills Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA082735
04/28/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4795 Weston Hills Dr
Lot: 015 Block: 001 Addition: Weston Hills 2nd
PID:10- 83751- 150 -01
Use:
Description:
Sub Type: e - Fumace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
Quesetions regarding electrical permit
952- 445 -2840
CRAIG ANGELL
12253 NICOLLET AVE. S.
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
Owner:
Michael D Schaff
4795 Weston Hills Dr
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA090184
07/14/2009
ePermit
cal Inspector,
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA113007
Date Issued:08/28/2013
Permit Category:ePermit
Site Address: 4795 Weston Hills Dr
Lot:015 Block: 001 Addition: Weston Hills 2nd
PID:10-83751-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Craig Angell
12253 Nicollet Ave. S.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael D Schaff
4795 Weston Hills Dr
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use
I I
9
fill Permit
City of Ea~ti R5
I Permit Fee: I Q5'
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Eagan
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 13 Site Address: -l 7 4 W~"' Unit
Name: Phone: W 'i( -0~37
Resident/
Owner i Address / City / Zip: if 19t5 y`)
5
Applicant is: Owner Contractor
v , m .
1
Description of work:
Type of Work
Construction Cost: T~ • C'~ Multi-Family Building: (Yes / No
Q
Company: (faA b7~ w idv~r b1~ Contact: Oaj)i j3J
Contractor Address: 7 c~ City:- 6.0 ~
State: itUv Zip: ' 55 " ( Phone:
J~ r_.2_0 g3 ~k I
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
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
Y
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orp
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 'inneso tate Building Code must be completed within 180
days of rmit issuance.
x -S x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
�
� Use BLUE or BLACK Ink
,� r---
. ' I For Office Use �
I I
C� � Permit#: ������ I
�by �l ����� I P r i F : �7•s,�� I
�m t ��
3830 Pilot Knob Road I ��,�/ I
Eagan MN 55122 RECEIVED � Date Received: � O � '�`' �
Phone: (651)675-5675
Fax: (651) 675-5694 �UN Z � ����► I Staff: j
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION '�
,
Date: �' �� J Site Address:_._ �� r � l�V� �� �1. Unit#: � ��
' Name: � Phone:
Residentl } 1 /�
Owner Address/City/Zip: ��� .2g�e,,.. 6--F,,,,Q� IeJt1�.
Applicant is: Owner Contractor
Type of Work , Description of work:_��(, ��t-t;�-t,�
' Construction Cost: ���°'� � °Q-t� Multi-Family Building: (Yes /No�
" Company: �<� � �l��--0'�ST✓'�� � Contact: �(+l� t IX �,� �/v�
. 1
C011t1"BCtOY Address: !�� � o�.�� � City: _�►�v►�,{�-- ��.,�
State:�t{ Zip: ���� Phone: �/�. �LZ! �"7� Email: �S�/��.CyT /�h�C,
License#: ��f?�,��f f Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�o\
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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are`considered to be public information. Portions of-
the information may be classified as non;public 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.qopherstateonecall.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 completed within 180
days of permit issuance.
X ���5 ��� P,�-� X � ��.�...
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
c�7�-� l�'c���h lti/1J' ,�r � .RQ�1� �
DO NOT WRITE �ELOW THIS LINE ��� � • ,
i
SUB TYPES I
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) �i
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) �
_ Multi �Deck Porch (Screen/Gazebo/Pergola) Miscellaneous I
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
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 building—give PCA handout to applicant
I
DESCRIPTION i
Valuation � � Occupancy ,jq,,,„-t;,.��-° MCES System I
Plan Review Code Edition SAC Units
(25%_ 100%�) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction t/��•-{ Width
��7—
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) � Final I 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 Erosion Control
Braced Walls Other:
Reviewed By: �� , Building Inspector
RESIDENTIAL FEES
Base Fee �
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge �^ �
1�... �`�
S&W Permit& Surcharge �"� � �� �-
Treatment Plant (" �
Copies �'`�`I7����G;�y"'"�l7���� � �c �.-�'
TOTAL ��,�.�-`�I��7 l� ?C.:;�`��- ......�•--'
� � ��Page 2 of 3
�
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a�nz-;,a_'-_ _ .. ---- - --- —_.._.---•---� __-� .------- -�- ,
Use BLUE or BLACK Ink
r-----------------�
I For Office Use i- �
I �
� � Permit#:�,,_� � ( � �
C��y of�a�aIl � �
� ,
I Permit Fee: �
3830 Pilot Knob Road � i
Eagan MN 55122 -° 4 � Date Received: I
Phone: (651)675-5675 4 � ° � � � �
_ i s�ff:
i
Fax: (651)675-5694 ���;;� � ��F y� �_
" ---------------�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: �lS l I� Site Address: `7 � I-�/ �E%.5+�f'? � i �-�s ��
Tenant: Suite#:
': " r { Name: / ` ' � L-�C.t.�- � �C��C� ��� Phone: � `J�-� I`"!" 0�3�
I�E�SIC�l��7��3��1 ��
� ��� Aadress i c�ty i z�p: �7 l�`� (.tJ�.S��r'1 }� � L L S f`C� C� �c�r'1 �,SI�3
; Name: �Yt7...5 ,('�j1 U�Z,�'� /�L ZJ�'>'"� �t h��License#: C�� �l �� �Y�
�; r+�t���1'� �� Address: c,�o�S CC�i.1rl'�� �� �� City: �S.5�.CJ
State:�!� Zip: J����f Phone: ��.�`���� � '� 3���
y" Contac#�!i'>'� �I n��p�- i�'1 EmaiL �P�e-�� P�.v m O�n�` M CL'is����
� New I�Replacement _Repair _Rebuild Modify Space Work in R.O.W.
���Q'���E9!F�f — — —
Description of work:
°° RESIDENTIAL
��,� �Water Heater
+ Lawn Irri ation �Nater Softener
'��'4C��„�„� 9 �RPZ I_PVB)
Septic System Add Plumbing Fi�ctures�Main>_Lower Level)
_New Water Tumaround
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 Svstem Abandonment,Water Turnaround*(includes$5.0o State Surcharge)
"Water Turnaround(add$200.00 if a 5/8"meter is requiredj
$115.00 SeDtic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) /
TOTAL FEES$ C�����
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is not to start ' out 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 p s.
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ApplicanYs Printed Name Applicant's Signature
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Permit#City of l Eaau Permit Fee: g / D�
3830 Pilot Knob Road
Eagan MN 55122 Date Received: '�i —/
Phone: (651)675-5675
buildinginspections(a citvofeagan.com AUG1 6 71317 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / (7Site Address: Unit#:
=' =',14z='-'''�� t Name: /yr% eika,k Phone: ""
02 ill _ 0533
® ,® 17 f Ull ,,�/ {�
"� � e � � � Address/City/Zip: .�,"�, 1r' �i
'x t. Applicant is: Owner ( C ntractor
.
t ,
a 'i Description of work: e-4011)
Construction Cost: 13100 Multi-Family Building:(Yes /No )
I
Com an •
,,(� �j 64;£ 4 r
p y: !)-�r—�, _ Q-,..4...1k--` j Contact:
2.
' « Address: �I ?-1 ) SY City:
s ®ntraCt0 �,
$4-4,...,,4%,?:,-16::::':.::vbState: ���/ Zip: l i'(( r� F.
If �'S Phone: (7- b� Email: CIS bat-ht `�` �.h
1404.4.11;qr * ' License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTEi,l ns and .porting , , meao °
ts that y - e " it are considered to be . "n ti .4 a .
� �n "P.'ateo f the x4
information may#e,classifie® on public if y �` !de specific reasons that would permit the CCity to conclude t r t th y
mare trade,secrets, :.' .," *.. .;.: ;' i'
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeaqan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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
rn; that I understand this is not a permit, but only an application for a permit .n• ark is not to start without a permit that the work will be in
ccordan with the approved plan i(nithe of work which requires a review and approval :..lans.
r" J
x c ,e(-4—k0 ------r a r)Q•---( de—
Applicant's Printed Name / Applicant's Signature
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