4801 Weston Hills DrCity of Etall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
1? -7
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
~J -3I/11 -
/9r7
Date: Site Address: Unit #:
Name:
ar/ seh Ao c 4'
Address / City / Zip:
Applicant is: Owner Contractor
••5/Zr.
4r
Phone:6Z
TYPE OF WORK
CONTRACTOR
Description of work: e aCC/d4ctQh c.h 7
Construction Cost:
Multi -Family Building: (Yes / Nolr )
Company: C1 �ri�sl.-�c� ah Se~icej.-7;c
Address:
State: /7,/ Zip:
License #:6Glo5moo?5y
Phone:
Contact: _C7,e„ ��� 06"
City: /!/C'L/7/,'ov7-
/"Y/aoa>
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you, submit are considered to be public information. Portions of
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. can 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. wniw.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be comted within 180
days of permit issuance.
Applican s Print d Name
cant s Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE /i) l0 O(o9
SUB TYPES
_ Foundation _ Fireplace
_ Single Family _ Garage
Multi y Deck
_ 01 of _ Plex Lower Level
Accessory Building
WORK TYPES
_ New _ Interior Improvement
_ Addition _ Move Building
_ Alteration _ Fire Repair
C Replace_ Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% !�)
Census Code
# of Units
# of Buildings
Type of Construction
beiv
4.3i{
LOI
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
14.1e y b , Ht �r
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy 2 R 6.-2 MCES System
Code Edition •ZcO7 SAC Units
Zoning it- 1 City Water
Stories Booster Pump
Square Feet 1M PRV
Length /4 Fire Sprinklers —"
Width 2.11'6 ‘`
REQUIRED INSPECTIONS
Footings (New Building)
jr Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Avd
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Meter Size:
Final / C.O. Required
att Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
7Gzt-
274.1x(''4'/`
hoAe
Page 2 of 3
Certificote
Lunt SWJQ'& WAS • OA CttcwtC' S
1 Awl M *II(n5 • L1tulte ROY Awclnitr.ft
Mendota IIcigurs, MII
(612) 681-1914 FAX: BA1 _94RA
625 I IIgnwnv 111 TIT .
(ilairtn, 1411 +r.414
(612) 783-1880 f AX: 7 33--1663
J4O(t
of Survey for: _MCDO4 lb NA DIAL CONST._
°, 151.04
57.410
BENCH MARK •
to
" TOP OF PIPS 11 o9ct. co
ELEV.s a�
N 69°58'09" E �. �o �:>
�`� x964.5j,/
37.03 -"§4.5Z - !✓
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Q
iOLDEASENENiPER I,
DOC N0.805318 & PER r
BFC 64 0f MI SC. REE. , 4 3 96
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127.69 NEI °51`321
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REVI E ED
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r�rtcpO CRADE� vow rot obs.ve N�i�t`�td -
t
Ho1E: NRD*NO 031EN,l3 WORN ME fcR Ftolllza4T)t. AND rE X.%
I.00AAC I of STRUCTURE! My. 317E ARC}r1E 111N . FtJuts TOR et 1+D
N 0 rOURDARo1+ ONERSTOR1
wort: CoNTRACTLR WV VERIFY e1MVEWAY ,Mata.
Hole NO SrEGr1G SORA NMS1 CA11011 Ho Stre1 COuPtrom Of VERS
aem HWSE 13 HOT TIC [ 1113SOILS LO Ott THE O SUPPORT Rte.
P.R.V.
x oo0.ao Denotes
( 000.00 ) Denotes
Denotes
- Denotes
-t-.,. Denote,
--43— Denotes
Existing Elevallon
Proposed Elevation
Drainage & Utility Easement
Drainage Flow Direction
Monument
Offset Hub
WE HEREBY CERTIFY TO MCDONALD CONST.
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 4, BLOCK 1 , PINES EDGE 2ND ADDITION
DAKOTA COUNTY. MINNESOTA
IT GOES NOT PURPORT TO SHOW IMPROVEMENTS OL AS
ON M1S,7THl- ATS OF xDEC AS
SII{,1994
Gl�,, 96401.
cop Tt
9637
BENCH MIRK
101' OF PIPE
EL EV;
1.0
trel
'DI Wes
1.1 1 is Or
tjkGAN
TT DOES HOT riffirant TO 910'0' (ASTINHT,
01NER I S CAn103E SHORN OH TIC ticconon PLAT.
SCALE 1 RICH -- 30 rrr T
SEMMOS SHOW Ani imams')
.PSD i j USE..OEVA110N. .
$.�
Lowest floor Elevation: .._.
Top of 'Nock Eievoiton: 94!14-"
Garage Stab Elevation: Pkio.
11•IAT THIS IS A TRUE APO CORRECT
SURVEYED BY ME OR UNDER MY OIREC
raw/fro 1 z-N�•? 'I- .�f
Rtvr4rr 3•! •-3 ll rr•0_8 1n..f e_
1, •'PIONEER r le Irl'» I1^
e•• w -.�
f 1n C. 'Larson. ES_ Rep, tlo. 198228
N t'IA.: AA
~ 1 ~ •
a xa~ - ~
Wtmficate of Cccoancv
CAM of Cftg"
Teparba"r ~ eogubbgs anooLvda«
This Certificate issued pyrsuaru to the r+equirements of the Uniform Buildiag Code
certifying tlwi at tlu tiine of issuarece this strucrure was in compliance with the various
ardinances af the Cety negulatiRg buildiRg constrrrction ar use. For the foltowing:
uw cmss;ficatim: SF IW abg. eitF„ii rro. 53q0
o-,P„Cy Type R3/M 1 zonina nku;ct R I rype con5t. VN
owna ac euiimng r~,n CnNb'T Il+1C'. na&ws?Hl l 145Ili ST W. APPiF VX.TY-V
s Aea~ VE Lmwnr 1.A ,R 1}.PTMS_MM 21M
oue- Uh 5
;
. emwft onkW
POST IN A COhISPiC!lOltS PLACE
~
INSPECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
I.u1 ~ ~I ~t! ni ? . ~
+ . `:~'f1N li't f 1 !1R
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D . .
F
L ~
-
Permk No. Permit Holdar Data Telaphone #
ELECTRIC
PLUMBING
HVAC
Inspecdon Date Inep. Commerns
FOOTINGS
FWND
FRAMING
ROOFlNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FlREPLACE ~A--e~7
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FINAL
UECK FTG
DECK FlNAL
11NNYLU1'lUlN Kl:UUKl)
ITY OF EAGAN PERMIT TYPE: A3830 Pilot Knob Road Permit Number: ~•i 0
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 0 4 ;0 + , APPLICANT:
0. 1
PERMIT SUBTYPE: TYPE OF 1NORK:
INSPECTION . D.
.
i i•t,"~;:k :tV F! IIt I^
':,t I''d1rr°{ f L F'i' kmi i 1; 1(tl) 1!•'t I~ f I1h f`.i4'i t 1.IIM1: I Calr i.Mt~;.
RF141!?ii:idi, f! f'o Ff<Ti'(il 1:Mf 1 i;~ils !Y•f~,('Fr! iiiN•;
~ ; . ~
~ : _ ~
Permit Holder Date Telephone #
PLUMBING )q,Q,~~ O 9
HVAC
Ihspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING ~ ~a~ 1~TLf
ROOFING
ROUGH
PLUMBING l ~ /1
PLBG
AIR TEST
ROUGH
HEATING G
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AR TEST
FINAL PLBG
FINAL HTG
OHSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METEF
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
IN5PECTION RECORD l
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~f '7'' 4 C'
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~;cu ~ 1?i 1~1N Wl l l :[?~r ,~~t~ i,! MF 1 t
i l ili l li~,F 'hl~t ~ • ~ . ,y,,,~
PERMIT SUBTYPE: TYPE OF WORK:
ill I r ral ti
INSPECTION DA . D.
L~ , ~
PermR No. Permlt Holder Date Tetephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date insp. Comments
FoonNGs
FOUND
FRAMING
ROOFING
ROUGH
PlUM81NG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPtACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTi;- ~G~lj ~j~ - - -
DECKfir!Al_
cw sr7~i.t, wIwdortJ-
13%*7
~G Pl~ _ ;
f
~ INSPECTION RECORD
. elT,l'OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~ c•~ ca
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
• ~ , ~ f1~,1{ i f' 1
~ ~~~i•f : ~ . ~ . . l.;. t t ~:I ~ ~
. , .
~ ~
Permft No. Partnk Holder Dets Telephone #
~ ELECTRIC
` +PLUMBING a7 9S ~~"9'~~~
HVAC 1 o17 ~ (~0~,,
inspectlon Date Insp. Comments
FOOTINGS
FOUND i~ 9s 7yI
FRAMING
ROOFING ROUGH .
PLUM8ING ~ ~ ' -
PLBG
AIF TEST ~
ROUGH
HEATING -7`- ~
GAS SVC
1/I
TEST , ~ ~ ~.F q
iNSUI ~ r
GYPBOARD
FIREPIACE 27 ~
FIREPLACE
AIR TEST
FINAL PLBG
w
FINALHTG
ORSAT
TEST
BLDG FINAi,
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
Address aaoi wFSmN HUTs ntuvF Zip 5512_3
,
L.pt 4 Blk 1 Sub rltiEs EDGE 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 61,Y02~2 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway
Peauanentgas ~
Sod/Seeded grass ~
TraiUcurb damage ?
Porch
Basement finish
Deck
Please verify with the builder [he removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Conlac[ engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink • Contracror Copy
6,1,l 'F7 u REQUEST FOR ELECTRICAL INSPECTION •,~M1Ne"'*s, ee'oooa?i-o/s
. . 7 jl~ See instmclions for completing Ihis lorm on back ol yellow copy.
G ~.J V
l5 R 7 Jr "X" Be/ow Work Covered by This Request "'~.,;~•y-
Ne Add Rep. . Type of Buiiding Appiiances Wired . Equipment Wired
Home Range Temporary Service
Duplex Water Heater. Electric Heating
Apt. Building Dryer Load Management
Comm.llndustrial Furnace Other (Specify
Farm Air Conditioner
OtOer(speciry) Conhactor's Remflrhs:
Compute fnspection Fee Below:
# Other Fee Jl Service Entrance Size Fee N Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100 -Amps
SI OS insoecwr's Use Onty: TOTAL
Irrigation Booms ~?1SCOI- `l bQ
5 ecial Ins ection
Alarm/COmmunication THIS INSTALLATION MAY BE OR NECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Electrical Inspector, hereby Aough-in
certify that the above inspection has Finai oate ~
6een mada. ~ OFFICE USE ONLY
This requesl voitl 18 mon[hs fmm
9m979 ~ ~ , r~ ov
FeQue t Da1e Fire No. Ro g~-In Inspection Requiretl Inspemion Other Th n Rough-In
~(Vou u'call inspeclor when ready) ~ Reatly Now ~ Will Notity Inspeclor
~ Yes ? N. Date Reatl
I;( licensed contractor ?ownei hereby request inspection of above electrical work at:
Jab Atltlress (Street Boz r Roule No.) Giy
1 ~
SeCtion o. Township N~^} orNO. Ranye No. C. nry
C".A/`+.~
Occu am (PR~(JT) Phons Na
~ ~ co 3a- ~o ?
Pawer Supplier AOdress
A1Z_ DIi .
ElecVi I Conimcf (COmpany me) Contraaor's Cmense No. f/
M ill g AdErass t2ctor Owner Making )nslal ~tion) Aulhorized Signator2 (GOnVaclo Owner Making Ins(allatlon) • ^ Phone Number~o
w 1 N l
B 1CITV
11
9r eBU Mve a ty Ade,3 oP u SMN85 109 II IIII IIIII II~ I I I I II II II IIII I III ENO OT
OSEDOPER INSPECT ONF EE
Phone (612j 802-0800 U ~
r'y Ia5 ~ , f,
2005 RESIDENTIAL BUII.DING PERMI'P APPLICATION Q~ Z S
City Of Eagan V~ S A_
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshudion Reauiremenls RemodeUReoalr Reauirements Office Use OnN
3 registered sita surveys showing sq. tt. of bt, sq. ft. of house; end ~II mofed a2as 2 copies of plan CeR of Survey Recd . _ Y_ N
(20°k max¢num lot coverage allowed) 1 set of Eneigy CalculaCans for heated addi6ons Tree Pres Plan Recd Y_ N,
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addifions 8 decks Tree Pres Requi2d _ Y_ N
1 set of Energy Calculations Additian - in0'icefe Aon•sNe sepfic system Onaite Sepdc System _ Y_ N
3 cop'res of Tree Preservadon Plan If iot platted after 117193
Rim Joisl Dehail Optlons selectbn sheet (buildings wRh 3 or less unils)
Date 06 / 2q~5 /0_!~' Construction Cost Oa • 06
Site Address 400/ w<!~S _)O^l ~?~G~ 4V~e4rbAC- Unit/Ste #
DescriptionotWork r20NI Srro_-14 oiAC-Zh~GE , Go?C?~
Mu1H-Family Bidg _ YU. N Fireplace(s) _ 0_ 1 _ 2
Property Owner /(scre- Telephone # ( GS)) 3 &
Cootractor RJ,0 /I GW6_)~u'!/CJ `Z~i~
nddress 176 ~3 ~•qar2 ~LEP~i/~ c'iry F~S~'~~a~/~-727r?
State Zip S`J [7a. Telephone # (G/,;Z) ~Oa-,FOOS
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Categary , Residential Ventilation Category t Worksheet • New Energy Code Worksheel
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submiried
Have you previously constructed a building in Eagan with a similar plan8 _ Y a-N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContracTor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
d
permit; that the wark will be in accordance with the approved plan in the case of work I nch,reqnires~ ~ 7i"I'll
approval of plans. 2 5 200Applicant's Printed Name Applic s Signature
L~ _
~
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 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
? 04 02-plex ? 10 08-plex ? 18 Deck Ik 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
fi( 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demoliqon (Entire Bldg) - Give PCA handout to applicant
Valuation 00 ~ Occupancy i7 -3 MCES System
Census Code 3~ Zoning City Water ~
SAC Units - Stories / Booster Pump
# of Units Sq. Ft. o~ PRV
# of Bldgs - Length ~ Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foo[ings (new bldg) FinaVC.O.
_ Footings (deck) ~ Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation 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 8 Surcharge
Treatment Piant
License Search
Copies
Other
Total
2422 f,Irrp,1^0 II01'
* * Mondnla Ilc7glits. Mtt •~~1~~~
(612) 681-1914 FnX-rAI-q4RA
PiO~ lwo AmK~s • OWL MCwt(a5
IAIN>~'I~NM1~S• I.~NIIN~IY ~x~~nrtr,~t g~5 IIIqIlwnV 111 Ilf
a•r .
i` ~ S Non~e, Mtl tS4 14
* *Ar (612) 783-1880 FAX:783--1883
.Vt
Certificate of Survey for: _MCDO 1NAo D„L pONS_T
BENCN MNtK
~ L• /"TOP OF i'IPE
~ EIEV.•
N69°58'09°E 30
f
~51.04 ry;'
37.03 M964.5
• - ,
i O
I 5~ 4 0 4
~
~
f IO ~
~ -ol un
ppC N Q~
I~O 816 9 P ER 'd I - ~
BK 64 Of hs9C. REC.,~ a3 9629 . J
P0. 345-_T O(0 O
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o CLo\M
b 4 6J ? x 1 a' Z
tn ?J-a v+ a IN
SgRVICE ~ j .
9634
x
W ~ 1.0 ,za
w .FL 957.0 4.67 1
Q Z W 957.6 x og ~ 964 O
~ a~ 1 o o
io LW y_ ~989.9 ~.33 ~ ro 0V
, ' .
582 vr 542~-
3 .02 27.48 -j 9637 ~
2qb~'~ 12769 Nd 051'32 o
~ P~r?~ri- Ad ~„~a~e~~*..~~ ` CH
3 R6`~~~w~ y
\9f.NC11 MIRK
1pf' OF PIPE •
ELEVr Bt
rm , BD
~I~FiivCs D~P'T.
~i Ro~~ ~ ~ QUd~L:~ rrtoPO9m crtAM aroM vnt dRAoMO a~w b'r, P 10 N EE R
ru u+o ~nncx. nu cfxmcen ooES Nar nJnrmr rv s'ow u~++n
Nott: eu~.oMO on+o+sar~ s~o+N ~ FaR onAue nRAu+ nas[ ~o~rN a n~[ irteam~n rter.
tocAna" or smuctuaes aKr. 3e~c nna~rt ruK atAm ron a~
~ roumAnol OWE"goft
SCALf ; t It!('i l-- 30 f f F T
M0T[: CCMMACRIR YUST OIM~AY bC'la~.
6CM~NOS 010MN AIR ASnMFD
Rc„e Na rcar~c sa T~cAeu"Wrr a sw ro~ n
lOf BY R1E AIRVlYq1•
~eu
"anc Harsc onarosto n Mar nc iaerae rr cr n+e auwt.". _pRgp05n NQVSE..FLEVn710N..
i.oweel floor Elevallon:
x 000.00 Denoles Exleting Elevatlon
( uoo.ao l Oenolea Propoaed ElevaUon r.~ L A
_ Denoles Drolnoqe k Utllily Eaee~*~enl 7~ ar elock Eievalron: .e `7
^ Oenotee Orainape florr Ohectlon ;
Denolee Monument Garoqe Stnb Elevatlon:
- Denotea Offeet Hub
i1iA7 THIS IS A'IRUE AIID CORRECT
VYE HEREBY CERTIFY 70 MCOONAlD CONST.
REPRESENTATION OF A Sl1RVEY 0F 7HE BWNDARIE5 OF:
LOT 4, BLOCK 1 , PINES EOGE 2ND ADDITION
~ OAKOTA COl1NTY. MINNESOTA
IT DOES NOT Pl1RPORT TO SNOW 11APROVEMENTS OR ENqIR0ACI1MEI1T5, EXCFf'T AS 51u?~;IJAS
~?iVEYED 8Y AIE OR UNOER MY OIRECT SUPERVISION 111I5 7TH` A OP 6FC. , 51?NFD: PIONFF.R EIfnAIFreni^, ro fin C. lmson, t-S. Re. tiw
E-oq1/~)L-3 t `m
2005 RESIDENI'IAL BUILDING PERNIIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements RemodeUFteoalr ReauiremenGs Office Use Onlv
3 registe2d site surveys shawirg sq. ft of IoL sq. ft. of house; and all mofed areas 2 coDies of Plan CeA of Survey Recd _ Y_ N
(20°k meximum lol coverege allowed) 1 set of Energy Calculatbns for heated additions Tree Pms Plan Recd Y-_ N,
2 copies ot plan showing heam & window s¢es; poured found design, etc. 1 sile survey for addi6ons & decks Tree Pies Required. ~_Y _ N
lsetafEnergyCalculatlons AddAion-indicateNon-siteseptic'csystem On-siteSepticSystem _Y _N
3 coples of Tree Preservation Plan if lot platted aRer 717193
Rim Joist Detal Optlons seleCion sheel (buildings wBh 3 or less uniLs)
Date ~ /2/ ConstrucHonCost
SiteAddress V 60/ GJCST"o.Fi /7.11s 0 /L UnidSte #
Description of Work ~/L/C. k ~KoN T
Multi-Family Bldg _ Y N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner /Ve, / d- lev>4 /1/o/LG7 t/Telephone#((aS/ ) 3 2_2 - 5_3 gY
Contractor G~ r'iv ) ~h
Address O lv City r~ U 1- L- ct~
State Zip 7 Telephone " 3 ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7692
Enefgy Code Ca[egory , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor TelePh l e P F~ Q
Sewer/Water Contractor Teleph ne #4AY ' I II
/
I hereby apply for a Residential Building Permit and acknowledge that the 'ferm~ ~ and accurate;
that the work will be in conformance with the ordinances and codes of the CiTy of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
• permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
appmval of plans.
/ IV6KQuls7-ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 OB-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? OB 04-plex ? 12 12-piex plbg_Y or _ N * 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Faundation O 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (EnBre Bldg) - Give PCA handout to applicant
Valuation Occupancy Q-3 MCES System
Census Code ~ Zoning 2- ~ City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ~ Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Fraining Siding _ Stucco _ Stone k Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review FMC/ES SAC
City SAC •
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
, PERMIT eRoaq~/a s
~r• CItY OF EAGAN la4S
3830 Pilot Knob Road PERMIT TYPE: Buz LosNG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 3 9 0
(612) 681-4675 Date Issued: 0 4(12 J 9 5
SITE ADDRESS:
9801 WESTON HILLS DR
LOTc 4 BLOCKc 1
PINES ED6E 2ND
DESCRIPTION:
,f;
Hu %lding'',P ,.ermit Type 5F DWG
,,6uiltlfng 4aw* Type NEW
~ UUC OeeuGar7cYR--3 M-1
„~r!Ca, ns.tructiam Tyji=,e V-N
. ~ ~vt53Fl°g ° R-1
Buildinq LengtM 66
a SUa1 diC#$ Wicfth 37
4 Bet31`dJ.ng ri,ss, 2
Oar,g, i, 752
~ m
i~1
7 (
? ~G'3 ~ k.1 ~s... __G Ni nra ;.~x
kk`
REMARKS:
PRV S& W PIBR - FIVE STAR PL6G
FEE SUMMARY:
VALUATION $140,000
Base Fee $779.50 MISCELLANEOUS $1,892.50
Plan Review $506.68 COPY $.50
Surcharge $70.00 7ota1 Fee $4,099.18
SAC $850.@0
5AC % 100
SAC Units 1
5ubtotal $2,206.18
CONTRACTOR: - Applicant - s-r. I.IC. OWNER:
MCDONALD CONST INC 14327601 0002376 MCDONALD CONST INC
7601 lASTH 5T W 7601 145TH S7 W
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 0.32-7601 (612)432-7601
T here'by acknnwXedge that t fiave read thIe ap:plicat:iart and state that VMe
infarmatian is corract anef agres to comply witFr a11 aPP7.icable S:"Ye nf Mn.
Sta2utes anc( City af Eagan t3rdircancesk
~ ~ ~ ~ _ e ~ . I APPLICAN /PERMI E SIGNATURE _ ISSUED B: SIGN
3830 PILfOT KN B RDN 55122
1939 0 7995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reavi2ments RemotleUReoair Reouirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (InGude 6eam 8 window sizes; poured fid. design; etc.) ? 2 ske surveys (exterior atlditions & decks)
? 7 energy wlalations ? 7 energy calculations for heated additions
? 1 tree preservation plan il lot plalted after 711/93
required: _ Yes No
DATE: J I S I~S CONSTRUCTION OST: la~ ~qQ0
DESCRIPTION OF WORK: E ~ ~ ~ ~ ~ ~ ~
S7REET ADDRESS: V iL
LC!T ~ BLOCK SUBD./P.I.D.
PROPERTY Name: Phone
OWNER "PBT
Street Address-
City: State: Zip:
cONTrtnCTOR Company: n n a(d Co h s~ It-. Phone 432" 76PO~
Street Address: )60( 14157~' License flo eOa3 7G
City: A DDI e 044 11L4 v
ARCHITECTI Company: Phone #ENGINEER
Name: Registration
Street Address,
City: State: Zip:
Sewer & water licensed plumber.. 3:2 qa Fioe AA e- . 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 corcect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE ONLY RE~ENED
Certificates of Survey Received _ Yes No apR o 51994
Tree Preservation Plan Received _ Yes ~No
OFFICE USE ONLY
. _ .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
4/fG02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 Multi (additional) 0 15 Deck
WORK TYPE
4Re-'31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION •
Const. (Actual) -;19,* Basement sq. ft. OG! MC/WS System C~4
(Allowable) Main level sq. ft. City Water _C>.(-
UBC Occupancy - ~ ZIle-5 sq. ft. i, o Zy Fire Sprinklered -42 Zoning sq. ft. PRV %sf
# of 5tories z;~t.,... sq. ft. Booster Pump
Length /06 sq. ft. Census Code. Goi
Depth 37 Footprint sq. ft. ~z SAC Code o~
Census Bldg /
~ Census Unit
APPROVALS f r'~
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MClWS SAC
City SAC isr ar , G~r ~,-F ?t °(v7f
Water Conn. y? y = 37s' „ x 3 Y = 37y
Water Meter
Acct. Deposit s%
~ T
SNV Pertnit /i
S/VN Surcharge MO /C~ _ Treatment PI. - h~ljl:5--2
Road Unit ~ 7 X yr =~6 s
Park Ded.
Trails Ded. /o r 7y ~ 3Yo L~
Other 1y ° 6yn
Copies .5a : ~{o
/'vyyxry; yX Zu
Total:
% SAC
SAC Units Os, ~
- - -~3r S~ i i/,
~'TT~G;
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145069
Date Issued:08/22/2017
Permit Category:ePermit
Site Address: 4801 Weston Hills Dr
Lot:4 Block: 1 Addition: Pines Edge 2nd
PID:10-57691-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kirby A Dahlquist
4801 Weston Hills Dr
Eagan MN 55123
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
. 7412 Fnlerpfl^e M1.~
Maadnla Ikiglkta Mt, '11100
4t
PI041MIR (612) 681-1914 Fnx:r,R1-•94RA
* ~um ni»~c.ws . a~ c«w,ctRs
~S S_I InIX`MrwRnS• AeNMf"rr 'NtlnRfl$ 625 fliQlIWOY 1~I ti 1.
~1lninn, I.dll ~~r414
* * (612) 7e3-1e80 Vnx:7a3-,ae3
Certificate of Survey for: _MCUOMNAa D~L~C~NST. FRI~E
BENCH MARK
/'TOP OF RPE d a
~ ELEV.I
~p\ ' n JOa¢
15t.04 N89058 09 E
. g64,5
t01,y . 37.03 - 114 ~
o ~ 1 >
1 5742 f ~ 10 ~
10 ~~~AD EASEh£NT PER ,d Q
/ OpC. N0. 805316 9 PER,~ ~ O
i
BIC 64 Of h~9C. REC.!~i 0.3 962.9 . ~
P0. 345~-0 2 6.Q\ ~(0 p
~ ~ V.• ~
-0 o
~ ww m ,9 I <p._n
o 6a -~4
~ J ~c~ p -ri
TO
b 4 C; o= i w~
N I A Q- Q a 963.4 IN V?950~ 8 ~ o
~ ~ SERVICE~
t ~
w r'_ II.O ~
I w~ 957.0 4.611
p IZ W 957.6 x a ~i S p's ~ n7 ~R'.C
~ ° ~
ol 10 w 1966.9 10 M-~ ~
, L.~._ w,
SB.2 vi . 502< 30 I Q ~
2 h 3.02 2748 j 963,7 /
_ i
qtiy 127.69 cvd 0502" o 17
~ S,af Ft.acx. a'I ! A(~
~ rJivt As IJV4e17c.9~ t C,~?G3 RLy~ew¢o
~ \BFNCII MlRK
E~LEF PIPE •
w
u $1 3-
By
D ~
EF.GA.7`3 LIdGiIVI~~EMrivG nEP'r.
paR oMo [2 (C21
PROPOSM GRA~ p" ORAMp pLAN h, P10 NEER
NDtt; sURDR+O D~!?+lMN7 4101N N1E Fdl +1011RaNiAI NA vERTCAI.
o~n ~ iHU~i ko tfsE ~ n[ irt~e n~
IOCATON 01' SIM1CilMK3 ONIY. St MG1~iCCNK PlJW9 iOR M1RDRb
1Np lOlMOATON 0111KM9Wt
"olf, cMipac" yust vcnirr olev[wAY Otyar+. SCALF : 1 IN('I I" 30 r(F r
BfMM03 910MN ARF rSnMFn
~p~C; ~p yYC71lC SpLE p~E3TCATW HA9 E!W COM'I.E~m
t01 BY 111E VIRVEWR. 11K lUTMlltt Of' SOt! M 9UPP0l1f IF1E
s,canc Narse owapWD Is Mor nM POVONSWn aF nK aRVCraR. _Pftnao$En HRUSE..El.EVAl10N. _
x ooo_ao Denolee Exbting Elewllon Luweai Floor Elevolbn: ff'S$• ~O
( ooo.ao ) Oeno1~~ Propoeed ElewUon "A
Omoief Orolnoge R Utlllty Eoeemenl
4anotee Oralnape Flor Okxtion T~ of 91ock Elevatlnn: ,tj'=7-'
-9--~.. Oenotee Monument Gcroge SIo6 Elevatlon:
•-9 Omotea Offeet Hub
WE IIEREBY CER7IFY TO MCOONAID CONST. TI1AT 1HIS IS h TRUE AllD C.ORRECT
REPRESENTAl10N OF /1 SUaVEr Of TNE BWNDARIES OF:
LOT 4, BLOCK I , PINES EDGE ZND ADDITION
DAKOTA COl?NTY, ti11NNESOTA
IT DOES N0T PURPORT TO SNOW 16A1'ROVEMENTS OR ENCIIROACIIMEIITS, EXCff T I1S SIouNl, 4S
SVRVEYED 9Y ME OR UNOER fAY DIRECT SVPERVISION 1NlS 7 TH'• A OF CO FC. , 1994.
F`p i2-!~•??- 5`rNFD! " PIONEF.R EfIrJFIFFnnf~,
nf~~+ - t':A.
T~in C. l,o~eon. TS. Re~. ttu. 19B2B
' . _ . . . .
~ - - 77
, LOT BIIRVEY CSECRL28T FOR RESIDENTIAL
' BIIILDINO PERMIT ]1PPLZCATION /
PROPERTY LyQA
Data of Burvtys
DOCIIMENT BT tan'ena
~ D • Ragistered Lnnd Surveyor aiqnature and company
~ ? • Buildinq Permit Applicant
D • Legal description
? D • Addrees
13 • North arrow and bav ccale
n n - House type (rambler, vaikout, split a/o, split entry,
lookout, etc.)
@-D D • Directional drainage nrrows vith slope/qredient t.
,8'D D Proposed/exictinq sewar and vater services
8_~~ 1 D • Street name
~ ? ~ • Drivevay
ELtVATIONB
Existinc
P~~ 0 • Sewer service
~0'~,0 ? • Lot corners
0' D L • Top of curb at the driveway
B--~n D • Elevations of any existSng adjncent homes
Proflosed
0~D 0 • Garage lloor
D • First floor
D ~ D • Lowest axpoaed elavation (walkout/window)
~ D • Property corners
D D • Frcnt and rear of home at the loundat3on
PONDING 71REA8 13f ap,plicnblel
0 Efj~ • Easement line
0 o n • r~wi,
n ~n • xwL
n • Pond # desiqnation
D ? ~ • Eaergency overtlow Elevntion
DzMExaioNs
2--:4 0 • Lot lines 0 • Riqht-of-way and street width (to back of curb)
O D • Froposed home dimansions iacluding any proposed decks,
overhangs qreatQr than 21, porches, etc. (i.e. all structures requitinq permanent footings)
Ir'13 13 • Show all easements of record and any City utilities within
those easements
ff~'D D • SetDacks ot proposed structure and setback of adjacent
axisting homes
d D • 7aetninin ra irements, if any
Raviewed:
N e / at
October 1992
i
, , . .
-.NOTEc - ---------Q .
1WELL AN SEP11C
I ;ABANDON~ ; BY q
' UTllf CONTRAC~ 6 PLUG ~
' ~ MN (E STA. 0+00 j j
3
12"BFV '12" 11~/40 END 1 1; -
sEPnC MH STA.
I ; I o 2
s= . d+~~oti . , INV= 950.7
INV= 954.5 , , ~
WE S.T O N H 1 L L S 1 I
,cs= sso. s= : o+so
2 N p A D D T 1 D N CS= 964.5 ~ WSE INV= 948.3
- - C5= 958.3
\\,WESTON.HILLS_DR:
- -
12"X 8"RE
~
IM EL-958.66< _ -E 0+0 _ ,
. INV E1=966.P.6 w[uO .
- - - - - - --5~., _ ~F° o
v CONTRACTOR TO LOCATE AND
+ I VERIFY EXISTING SAN. LiNE ~
I~iI. v
PRIOR TO CONSTRUCTION: 0+75
I1 ~ „ ,
fNrV 9 54:2 12 X12bTEE
S= 964.2 "
12 BFV
S= 0+41
INV= 950.8
,
_
{ ~ . CS- 960.8
OUTLOT C -
~ HE tE TY aF FnGA N aoEs NOT GuARA". IT
g"r-'AQCJ,^,!`.t'Y OF UTILI'i Y L0(:A7i0?w
Ai~'~/~~i A tiEi',`~fI0N5: ~'a~13 U; A~: 1~ ~;p~ ~ l I 12'°PLUG
tCJFJRMATfQN . _ PURPOv€S ~L•; A10 I, I ' S IGH
P~~?SOiLS :USIIV G I T S H O U L G V~~ ~if Y T F~ IL
iNIEORMATI0NN0N THE SITE. I I I + I
I I I~ I i
. . .
. .
. .
MH RE=963:98:.:: .
. . . . .
. .
~ . BLDr,23:32: . . . .
. . ~
. . . . . . : MH RE=962056: .
. .
. 2. B~ = 21.30...:.....
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : : : : : : T957.~2:
M H RE
.
. . . . . . . . . . . . . . . . . . :
. . .
. . .
.
. . . .4: Ga =15.53 :
: . y - , . ~F C~~~ Pd D(3E~,~"? G1J/ HAf~I i EE . MFi: ' RE=958.88 . : .
OF UTI! ITY C CAT:ONj. . ~ . 3 : . BLD=17:08 : . . . '
. . ~ .21
18 • FO~. . . . . . . . : . . . . : . . . . : . . . . . . : . . . . . . . : . . . . . . . .
iON • PURPU„ C 'LY ~Al-,:D : : : ' . . : : . . . . . . . . . . . . . . .
. . . . .
, ~ ; ~ 2. . . 951.75
. IT 8F oZ*,, Y• li=. .
~ ;~~~ryT~OFd 0"J THG;~: : : . . I
• NSULATE MiM
• TH 64 LF
. . . . .
.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4'x 4'x 8': RIGID "STYF
.
. D. [.P;
. . . .-f- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. ..~.~;y ' . ~ . . . \ . ~
t~ . . . . .
CONKC~: TO . . : : . . . . . . . . . .
: . • : . .
.
: EXtST.: 12°: D.I.P:: : . . . ~ ~ . . . . . .
' W1TH' 127' g.F:V.. . : : : . . . ..:do: : tn • • - : ' ; . . . . : . : . : . . . . . . : . . . . . . . . . . . . . : :
~n ~ +
+ :.'o o : . . . . _
. : . : a: o . . : . : : • : :
. , .
.
. ~ ~ . . . . . . . . . . . . . . .
.
~ . ~
948:53 .
: : W ~ :15"RCP:
: ~ : : : : : : : : : : .u, u,. . . . : : : : : : : : : : : : : : : : : : : : : : : : : : : . : : : :
::M AN HOLE: A~'- . '
. . . . . .
' ;END: :OE :EXtST.: . . . . . . . . . . . . . . . . . . . . . . . . . .
: '8° PVC : . . . ' . o ° : . : . . ' io c°. . . . . . : . : . . . : .
. . . '
. . .
104,_8"PVC
- - 100'- 35 :
. . . . . . ~ 107'~8"PVC.SDR. 26 8"PVC SI7R . .
. . . . . 040% .
"
. . . 0:40%. : . . . . . . . . : : . . . .
1 24 • . RR 3
: . . . . . . . . . . . . : . . . ' ' '-~8~PVC= SDR. 2 . . . . . . . :
. .
a a.~o o . . . .
~ ~,:::::::.:::::::::o:
. . . . . . . _ t~. . . . . . _ . . N r 1
~ 00 . :N N
.
. . . . . . . rn rn . . . :..rn
- 1& 2 Family Residendal "Cookbook" h4ethoa
5[TE ADDRFSS Gry
'~80 ~a
gU1LDER C Date
w 45
Miaimum Cciteria:
Rim )oist R-19 insulation Foundaton Windows: Iasulattd glass. 1/1' air space, w'ood or vinyl fratne
Entry doors: I3/4 inch solid wood µzth storm or better
STEP 1 Window & Door Area STEP 2 Calculate area as a percent of w•all
Total V~indow & Door Area in Sq. Fcet Box A(window & door area) dividcd by Boz B(total
WL~'DOWS (:,.clacing fcuada:ien win3o:;s;: wz!12'r2) times 100 eqe2s the wia3ow zd door ue2
Dimensions Qnry. . Arez as a percent of wall azsa (Boz E.).
x .3 sox B 3? o) 5 z ioo = 1(~. o
/
~ c
e z + a -e-
o STEP 3 Design Features
X OP'TION
o x s. n I _ ASSEMBLY
° x FRAIvIE WALL:
~ z ~ G I 1 r sc STANDARD FR?.A2IDIG ~
z I ADVANCED fRAhUNG
x cnvrrY arsvuriox R- t q
x
DOORS: SFEnT'fUNCr . ~
LFSS THAN R-5
0 8'
3 3 R-5 OR DSORe
3 6 z WII.`DOWS (ezcept foundarion Rindows):
x I U-FAG'iOR U ~
Total Area of
Rrindow & Doors 3?? '?SA
From the table, determine the maximum perccnt window
Total Wall Area in Sq. Ft & door area for the design options selectcd and enter the
Wall Total Perimetcr Height Area value in boz D below:
Boz C must be ]ess t6an or equal to Box D
-ro~,~ a3a`I B
oe wall
F. The building must not exceed the maximum N•indow and door azea as a
percentage of overall exposed v:all area listed below• for the combination
oE framing technique, R-value of insulation within the insulated cavitv,
sheathing R-value, and windoH• U-fac:or. Other components must meet
the requirements of this subpart.
jyl,~Ivf[JM WINDOW Af~~D DOOA AREA
AS A PER[ENC OF OVEItALL EXYOSED WALL
Cavitc Window li-Factor
_ Framine Insularion Sheathin¢ ¢ 0.49 0.36 0.31 0.3+
STANDARD R-13 ?R-7 13.4116 17_8qa 21.3 0 24.3%
STANDARD R.li 2R-5 12.9%. d 17.1 e 20.1 0 23.416.
ST_%-1'`I'J:LRD R_ig <R-5 Il_3 016.0% 18.8% 27-0p1o
STANDARD k-18 >-111-5 1s.tiio 18.6°0 21.8e 25.3°.e
<R-5 il.l°e ' 17.19'a 20.1 e 3.4%
ADVANCED R'18
ADVANCED R-18 ~:R_5 13.5°6 19_2 %0 22.5% 26.101
d ~.1 ;
STANDARD R-21 <R-5 11.8°~e 17.D~o 19.9 ~o
SSANDARD R-21 ?R-5 14.0°0 19.3% 22.5 %e 36.1°0
ADVANCED R-21 <R-5 11.8°.0 18_1% 21.2°.0 24.6%
,
ADVANCED R-21 ?R-5 14.0°a 19.9°0 23Z010 '-6.9°b
Subp. 3. Performance cziteria. The combined thermal transmittance (Uo)
factors for walls, roof/ceilings, and floors over unheated spaces must be less than or
equal to: ~
A. 0.110 Btu/h ftz `F for w•alls;
B. 0.026 Btu/h ftz `F for roof/ceilings; and
C 0.04 Btu/h ft2 `F for floors.
STAT AUTH: MS § 216C.19
HIST: 18 SR 236I
7670.0480 Rcpeaied, 18 SR 2361
PERMIT c~o5~~ qs
' CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U X L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 5 4 6
(612) 681-4675 Date Issued: 0 5/ 14 / 9 6
SITE ADDRESS:
4801 WESTON HILL5 qR
LOT: 4 BLOCK: 1
PINE5 EDGE 2ND
P.I.N.: 10-57691-040-01
DESCRIPTION:
r~
,~~•~tin`~j Permit Type DECK
~~na~,rJint~rk Type NEW
434 ALT. RESIDENTIAL
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na
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REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
7ota1 Fee $45`:'58> CONTRACTOR: OWNER: - Applicant -
NORQUIST NEIL
4801 WESTON HILLS DR
EAGAN MN 55123
(612)322-5384
~ , f ff
~p¢licati6-n a+nci o~tate~ that'the '
~.i~r~at~~Yn°-~,s r7~i ~~,ta c•€ifit{al,y°with alz applicable St ata afi Mli.; '
s
(.P-t/S I J trk 11Qi,~ ~
APPLICANT/PERMITE GNATURE 1 SUED 51 ATU
CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122 ~~,J(,ff(~
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conslructlon Reauiremenfs RemodeUReoair Rer,luirements
? 3 registered site surveys ? 2 copies of plan
? 2 capias af plans (include beam 8 window sizes; poured tnd. design; etc.) ? 2 site surveys (ezterior addftions & decks)
? 1 energy calculations t 1 energy calculatlons for heated additions
? 3 copies of tree preservatton plan if bt platted after 7/1193
required: _ Yes No -
DATE: ! en CONSTRUCTION COST:
DESCRIPTION OF WORK: k ak
STREET ADDRESS: y W57-Ov UIU.S
LOT ~ BLOCK SUBD./P.I.D. h« ~ gh~g a'Abh 16A~
u
+ g
PROPERTY Name: AU90 Ul Sr NP I L Phone cUJ
owNER j 1~
Street Address•`-f'~
City: `A State: ~lfS Zip: ~
coNTRACTOR. Company: ' Phone
Street Address: License
City: State: Zip:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address-
Ciry: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change anr
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply wit~
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
R~ ~
OFFICE USE ONLY LVJ
~~~~0 V ~
Certificates of Survey Received _ Yes _ No
~~v n ~ s~s~
Tree Preservation Plan Received Yes No
I FERMIT
GITY 4F EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu z Lo z N c
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 5 3 e
(612) 681-4675 Date Issued: 10/ 0 2/ 9 8
SITE ADDRESS:
4801 WESTON HILLS DR
LOTa 4 BLOCK: 1
PINES Ep6E 2ND
P,I>N.: 10-57691-040-01
DESCRIPTION:
BV;r„j~.1 ~,Permit Ty'pe BASEMENT FINISM
ul„1dik~t~~V~qrk Type ALTERATION
e-nsyis ped.e~~" ~ 434 ALT. RESIDENTIAL
~
JAm' ~
a3' s
°„~"'a~k
.E
~ ft
r. w .
`
bn y P- 0`4
.~,y
REMARKS:
PLAN REVIEWEp BY WAYNE MILLER.
SEPARATE PERMIT REQUIRED FQR ANY PLUMBING WpRK.
CALL 945-2$40 REGARDING ELECTRICAI. PERMIT AND YNSPECTIONS.
FEE SUMMARY:
Base Fee $50.00
Surcharge
Total Fee $50.50
CONTRACTOR: OWNER: - A p p 1 i c a n t-
NORQUIST NEIL
~ 4801 WE5TON HILLS DR
EA6AN MN 55123
(651)322-5384
d "Otate;Vi~t' th~
' ~F&6rr~c~G 41' a9r04to Pom~~~' ~t~t,h Arld°aA~1&~~bk~ ~rf
C,yr ~crCIrd~.nar~~~~ '
na
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A IGANT/PERMITEE ~ATURE I ED BY: SIGNATUR - - - - - -
, 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3~ S 3~ 3830 PII.OT KNO? RD - 65122
~
~ ~V S
New Construction Reauirements RemodeUReoair Reauirements
C e~Q_Q~ ~ . a zs
? 3 re9istere0 site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window saes; pourad fnd. design; etc.) ? 2 site surveys (exterior adddions 8 dedcs)
• 1 energy calalations ? 1 energy calwladans for heated addkions
? 3 eopies of tree preservation plan H bt platted after 7/1193
required: _ Yes _ No
DATE: C1T CONSTRUCTION COST;
DESCRIPTION OF WORK: UuY1-YY~kF ~111i~S G~
STR ET DRESS: 4<0 WeS-~On Ni I ~S I) r _
LOT: BLOCK: ~ SUBO./P.I.D.
Name: (jo r ~ U(ST Ner 1v" T H Phone#: Ja~ ~J3g~
PROPERTY Las Fim
OWNER Street Address:L)I6 1 Wf s~or l'f I( iS r?r
City cC A &A t/ State: rn Zip:
Company: wT Phone *
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHI7'EC'f/
ENGINEER Company: Phone
Name: Registration
Sffeet Address:
City Sute: Zip:
Sewer & water licensed plumber (new wnstruction ony): . Penalry applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the i tion is wrrect and agree to comply with ail applicabl
State of MinnesoW Statutes and City of Eagan Ordinances.
Signature of Applicant: ~p ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Requiredi F,1
c 5
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex O 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New --l!5'33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) VP_ Basement sq. ft. MC/WS System
(Allowabie) ~ 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.
Depth Footprint sq. ft. 5AC Code ~
Census Bldg i
Census Unit a
APPROVALS
Planning Building vV~±~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
_.::{.d( ~
Total:
°h SAC
SAC Units -
~ cR a ~ 9I8
CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMITTYPE: BurLoiNc
*
Eagan, Minnesota 55122-1897 Permit Number. 039892
(612) 681-4675 Date Issued: 10 / 0 2/ 9 7
SITE ADDRESS:
4801 WE3TON HILLS DR
LOT: 4 BLOCK: 1
PZNES EpGE 2ND
P.I.N.: 10-57691-040-01
DESCRIPTION:
(GAS)
114;4,.,fermit Type FIREPLACE
jeatI l'dina Type NEW
~~rtgUg ~ad~ 434 ALT. RESTpENTIAL
r
F ~ T p ~
L,~yOr
ax
"is c
~ .
V oF ca..
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $,50
7ota1 Fee $50.50
CONTRACTOR: _ ppplicant - ST. Lrc OWNER:
FTRESIDE CORNER'INC 16332561 2809091 NOR@UIST NEIL
2700 N FAIRVIEW AVE 4801 WESTON HILLS DR
ROSEVSLLE MN 55113-0847 EAGAN MN 55123
(612) 633-2561 (612)322-5384
k~!YW ~ Y4.(A4 4~~5n,+.~
aIns'~
'lr }.r.~. y. Sr y µy^~
~ J I..~~k#Ft'~~ PCL4i Vf`Y ~£~~M1AfY 4(l ~~4+y{~~ii4~ S 5gY Nn ~O~ty. y~+ , 9.y.~b- . ~~Z p
L
APPLICANT/PEAMITEE SIGNA7URE -ISS~UEd~B : SIC~ATUR ~ ~ ~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ( D~ j
1997 FIREPLACE PERMIT APPLICATION V
681-4675
506qot ~
DATE: 7 '4 S PERMIT FEE: $50.50
DESCRIP7TON OF WORK: ~ CONSTRUCT Sj~ FIREPLACE ALTERATIONS TO EXISTING
_ INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTEER:
STREET ADDRESS: V vL•5 -roj A-e-p
LOT ~ BLOCK ~ SUBD./P.I.D.#: ~1~h?IJ UU, „L°I'I(A
APPLICANT: (circle one onfy) OWNER CONTRACTOR
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.
PROPER7'Y Name: lv O l2 (:4 cl 1-5 7 ! 1 v7ff V /v ( ;*I L- Phone ~Z Z-S3
OWNER n.+.
Signature:
~-80/
Street Address:
Ciry: 4~~A (::t,N 01) State: Zip: z 3
A LL cv~D il~6? 7'~ 933-2SM/
FIREPLACE Company: Phone
INSTALLER
Signature:
SVeet Address 38szs - w- (4- License
State: ~ Zip:
GAS LINE Company: Phone
INSTALLER
Name:
C.~
Signature:
Street Address:
City: State: Zip:
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
I
~
~ I ~ / lJ , 3830 PILOT KNOB RD - 55122
~ 651•687-4875
Hew CAnahuCHOn Reaulre rtlenla ' C~Yt ' n~ IZ-ZQ Remodel/ReDalr Reaulremenh
n 3 reylsfered flfe wrveri showinp sq. ft of bf, rq. 8. of houae ~ Q~ 2 copfes of plan
and QI rooled areas (20X maxlmum bf coveraae allowedf 7,~1 sei of energy calculaNOns for haateC addlHOns
> 2 coples of plans (show beam 8 wlndow sizea; poured Ind. design; efc.) 1 fite survey tor exAerbr addiflons 3 decb
> 1 set W energy calcutalbna
> 3 coples of hee preservallon plan Il lot plWtetl arter 7/1/93
DATE: ~0 /ZT b CONSTRUCTION COST:
DESCRIPTION OF WORK: ~oNS~~&-r7°d 01~ JN-&¢auNt7 SwIMMINb P"7•
SiREETADDRESS: 4I~bOI 655-md 7`ru,s _22
LOT: BLOCK: ~ SUBD./P.I.D. pineS ~dae Z~t~ ~G~l~iOh
Name: NW-lA)ST AkIL k leu'fl-f PhoneU: If S!- 32Z.53Hy
PROPERTY trnf Flrsr
OWNER ~r W~S~ ~
Sheet Address: ~I U,& 7it-
city FA6-Ad stare: Mtj zip:
Company: Tuu~rV ec Go~roT~'9 I~~'L ~ S~~ P,onen: 7b3 T/3-ly7~
(area code)
CONTRACTOR LZL55 - /4Wy 55-
Sheet Address: License q ExP.
cirv -PLyn~a LA-TH srcre: ntinl Zip; ssqqI
ARCHITECT/ Name:
ENGINEER Company:
Telephone ( )
Sheet Address: ReglshaHon q:
Cify Sfate: vp:
Sewedwater licensed plumber (H instailinn sewer/waterl: Phone L~
I hereby acknowledye Ihaf I have read thb applkaNon, atate ttwf ihe infomwtbn ia cortect, and agree fo comply wHh aa appAcable Sfa1e
of Minnesota Sfafules and CHy of Eagan Ordinances.
Signalure of Applicanf:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Ait - MuRi
? 02 SF Dwelling ? OS 06-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ak - SF
? 03 01 of _ plex ? 09 07-plex O 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 OS-plex O 19 Lower Level ? 24 Storm Damage
? 05 03-plex 0 11 10.plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ~ 20 Pool ? 30 Accessory Bldg.
W9RK TYPE
X 31 New ? 36 Move Bidg. ? 43 Reroof
0 32 Addition 0 37 Demolish (Bidg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
p 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 3ACI # of Stories sq• ft•
No. of Units 0 Length 26 sq. ft.
No. of Buildings o Width 15s Footprint sq. ft.
Const. (Actual) I Basement sq. ft. Census Code
(Allowabie) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ 1D, a~ oo ~
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
SAC Units
% SAC
~ NIoOL) i sr ,
Certificate of Survcy for: _MC
4801 DONAo D„
I s~b•~w ~ ~ ~ ~
Sja, IuFline, pENCN MARK ` m
/~TUP OF PIPf ~9I am
ELEV.: (1 o~e
NB9°58'09'~E ~0
lq61bp, 151.04 3703 - x964.5
i . ' .
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i 1 5742
~
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10 RppO A T PER ,e
6~ , ~~t6 9 PER O
REC. ~ 60. 3 962.6
W _I_ P0.34 I p~O
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"„54 Poai W 5+,4b~ Du4.
wl End 4~ sl'f
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P10 NEER
rron: eutinR+o owwsor+s sOW Ns rat +tu u+o wnncK. ;0 ~ TM,aCn v~c o:i ns xii:omxn n~r.~n
Lounw a smacn~ on~r. eo[ MwR nix ?vuis roR eutnra •r
wM rvvr+oAnw wcxsa.x
MOTT. CCRTOACTM WtW VMy VM"Ar YA~. SC/1LF : 1 Iflc'tl 30 fff T
HOTC MO 9'Rm SX.S N%VMCATW HA1 bCd COYiRtYfD dl INR 9[MMOS JIOMI ARF ASaMT
LOi BY T! ginlKyum Tic smiMl1tt d 3OLS rogppont Rfc
msonc Novx vwaroem n har ne IOC"MWun ar n2 au+Vc"• _P.RQ'a5F'~9V.SE..EI.EVA110N..
L- -
x pop.oa Dmoles Exietlnq Elevallon Loweat floor Elevollon: 175___S. (o
( ponoo 7 Oenole-i Prop oaed Etsvotlon
Omote-s Oroh~aqe Ar Ulhily Eaeemenl T of Blaek Elevoltnn: J~,l~•7"
penolee Orafnaas Flow Okeotlan °Q
Oenolee Gtmument Gorage Slab Elevcllorr.
9 - Denolea Offset Hub
j}{pT THIS IS A TRUE AllO CORRECT-
PRESEN AiION OF A SURVE'Y OF E~BWNDARIES OF:
_ ~ _ .,..I. . nouee rnr_e '~Onin nnfllTlflN
I
CITY USE ONLY G p g
/
L BL RECEIPT#: 21
R
SUBD. RECEIPT DATE:
1998 PI+UMBING PERMIT (RESIDENTIAL)
CITY OF EAC,AN
3830 PZIAT IaIOB RD
EAGAN, IMT 55122
(612) 681-4675
Please complete for: ? single family dwellings .
? townhomes and condos when permits are required far each unit
? backflow preventer for underground sprinkler system
- -
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - t 3.00 x =
Rough Openings 1.50 x =
WaterSoftener "fordwellingsunderconstruction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sptlnkler ' for dwefling under wnst. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
=
Alterations " to ezisting residence 20.00
Water Tum Around 20.00 =
Private Disposal System ' MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
TOTAL 11 C
I hereby acknowledge that I have read this application, state that the infortnation is cortect, end agree to comply wkh all applicable City of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner thet the City of Eagan assumes no Iiabiiity for any damages caused by the Ciry during its
nortnal operetional and maintenance acfivdies to the Nacilities constructed under this pertnR within City propertylright-of-way/easement.
SITE ADDRESS: `7 0o I uxST2V1 N 1` l!S Or LA• r 61 s'^~ ~ ~I KZ
OWNER NAME: N6 ` RL" N6trI'nt i I,~+
INSTALLER NAME: TELEPHONE Jdof -J J~
STREET ADDRESS: -1 0n-)I uieS"CJ 71 N i 1(S io1-
CITY: 'F-A G-AIV STATE: m/J ZIP: SJ
51 NATURE OF PERMITT
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 -
• ` ' ' CITY USE ONLY
L ~ BL ~ d RECEIPT#:
SUBD. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Fireplace conversion (to existing fireplace)
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence anly) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) 3•cro
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: pHONE y32 -~do/
INSTALLER NAME: CONr,PoLr.~D
STREET ADDRESS: 30% 2 ND 5T-,
CITY: FM/n1NEW71/ STATE: MN ZIp: SS02Y
PHONE ( 2 -&OP- z
ST~RA~ E~FI~EFFNfII'r
" LV gL CITY USE ONLY RECEIPT 397/~--
SUBD. DATE: y~ 95
1995 PLUMBING PERMIT (RESIDENTIAL) ,
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
' ? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Showsr • 3.00 x d
Water Closet 3.00 x ~ OG
Bath Tub 3.00 x 3 06
Lavatory 3.00 x = / a.oo
Kitchen Sink 3.00 x = ~.Oo
Laundry Tray 3.00 x = 3. 00
Hot Tub/Spa 3.00 x = =0
Water Heater 3.00 x = 3 nn
Floor Drain 3.00 x = d
Gas Piping Outlet * minimum -1 3.00 x = •S~, Oa
Rough Openings 1.50 x = \/.-SU
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. Sprlnkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
Y/
OWNER NAME:
INSTALLER NAME: S G l ~
STREET AD RESS: 1(9 -~Ti Wa ` A uc
•
~
CITY: O T rO?e STATE: ZIP:
PHONE#:(~(a..
S7". ~
~ Certificote of Survey for: _MCDONAo DiL` oO~NS_T.
7-4 idi ~ I
eeNCH MARK
/~TUP OF r1F'E \n o~
ELEV.*
~ \R• 30 n i!
lqy~ 151.04 N69°58 09 E „964.5 ~
. o - ~ ?
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t0
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10 ~~RpAO EASf~.tNT PER ~D1 ~d I - Q
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tor oF PiPE
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pqgpo= GRADCS a~ ~ ~AMM pLAN gr: P10 NEER
No,c: eu+~nMO wasa+s sro+Rt u~[ rat 1+aezaHT1d. ANO W111CN. p~j~ n1~i~NCA+rto9t sim?+ aN n[ xccamwn ~AsruNn
LOCATION OF SflNCTUtL7 OMIY. 7FL A"TCtNPL P'lAN7 IMt MlDNO 4
NA ~OVrNAIION ONf1f9Wl.
AY O[lCN. SC/11.F_ : 1 1(if'I I^,jn f(f T
NOK. CCNtqAf.'~C~1 1T K~Y OM~ 6CM~N07 910M1 AnF ASOMfA
N01C MO 9'[CY1C ~CATKN HA! ElZN CMM1I~ID OH 7M!
~~caic Nan~c ~ n or~ncn~ioraSO" ~euna r ~n~YOR _.P~4V.SE..EI.EVAl10N..
x pvp.oo Denolee Exletlnp Elewllon . Loreet ftoor Ete~otlonl poo.oo ) Denotee Propoaed Elevollon
- Denolee Orolnoqe 1r Ulnlly Eaeemenl Top o/ Black Etevatfon; !14
^ Denotee OrafnaBe Flox Olreotlon
--r-T. Denolee Monuma+t Garaqe S1nb ElevotMn:
B - Dmotee Offaet Hub
T1iAT 7HIS iS A TTtUE AtlD CORRECT
yYE FIEREBY CERTIFY TO MCDONUID CONST.
REPRESENTA110N OF A SURVEY OF 'ME 90UNDARIES OF:
almFS Fh(~F 2N0 ADOITIOPI
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120549
Date Issued:02/19/2014
Permit Category:ePermit
Site Address: 4801 Weston Hills Dr
Lot:4 Block: 1 Addition: Pines Edge 2nd
PID:10-57691-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Andrea Preusse
4145 Sibley Memorial Hwy
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 -
Kirby A Dahlquist
4801 Weston Hills Dr
Eagan MN 55123
(218) 324-2187
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143170
Date Issued:06/06/2017
Permit Category:ePermit
Site Address: 4801 Weston Hills Dr
Lot:4 Block: 1 Addition: Pines Edge 2nd
PID:10-57691-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kirby A Dahlquist
4801 Weston Hills Dr
Eagan MN 55123
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161381
Date Issued:05/21/2020
Permit Category:ePermit
Site Address: 4801 Weston Hills Dr
Lot:4 Block: 1 Addition: Pines Edge 2nd
PID:10-57691-01-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Kirby A Dahlquist
4801 Weston Hills Dr
Eagan MN 55123
(218) 324-2187
Twin City Roofing Construction Specialis
72 Ivy Ave W
St Paul MN 55117
(651) 636-9640
Applicant/Permitee: Signature Issued By: Signature