528 Weston Hills Ct4,111°
City of hp
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Z7/) I Site Address: ` ' I4i t 1 S Unit #:
RESIDENT /
OWNER
Name: J V E "t- .tG.L' v jp Phone: ((›,51)!x`7 5 6 ( 92 -
OW
Address / City / Zip: S28- 3 i Y \ t7Wt_S N
Applicant is: Owner Contractor
TYPE OF WORK
Description of work• 7s-)<-16 se"�(-(2y\,;r\a �ri(, C
Construction Costf cr...1d Multi -Family Building: (Yes / No 7 )
CONTRACTOR
COM pan cZA..1\1\CrecbL®4-cS` A Contact:
City: (A�CS-3d1t�u4
Address: 1'% S'6 00c;rrdrai' bre; Le.//,
l
State: Zip. .-S12.$ Phone:0..05I)775 —39216
License #: C S y 6-qy Lead Certificate #:
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
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. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and k 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 approvaf - . ns.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
W6 -sof Odic C.
.
DO NOT WRITE BELOW THIS LINE
qg g-7
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
_ Accessory Building
WORK TYPES
New
AL Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation Z 3cco -
Plan Review
(25%
Census Code
# of Units
# of Buildings
Type of Construction
1 ocr%o N
'/ 3Y
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition ,Loa7 SAC Units
Siding
Reroof
Windows
Egress Window
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
MCES System
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In _Air Test Final
Insulation
Meter Size:
Reviewed By:61
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
fes/
'�I�iGF9
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final 1 C.O. Required
Final / No C.O. Required
HVAC
Other:
pkt.. Pool: .0, Footings *–Air/Gas Tests If Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: Footings — Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
TOTAL
Page 2 of 3
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: .5�8 /O&S-i'o l Os at.
Applicant Name:
GENERAL INFORMATION
❑ Applicant name and contact information
❑ Property owner name
❑ Address of property
❑ North arrow, scale (1" = 30' or 40')
U Site Plan, drawn to scale showing location of house, pool, and other existing or proposed
structures, including retaining walls.
❑ Location and name of all streets adjacent to property
❑ Directional drainage arrows (existing and proposed)
ELEVATIONS
Existing
❑ ❑ House corners
fa' ❑ ❑ Property corners
❑ psf ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
❑
U Finished pool deck corners
❑ ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes)
❑ ❑ Pool bottom (or max. depth)
DIMENSIONS
Existing
❑ All property/lot lines
❑ All Easements on the property
Proposed
❑ Pool
❑ Pool plus integrated deck/patio
U Shortest distance from outside edge of pool
Reviewed
G:FORMS/Poo1 Permit Checklist/02-13-07
eck to lot lines and house
Date
m
Ca
co
z
cn
01
W
i to
A
1 50
doe Mru.I.
coNSUUDI 3 4Nt1 N�EEAS
R0 3 E PLANK@A5 and LAND #uaveVORS # SW, o�
ENGINEERING C 1/t 0.c C (-
COMPRNY, INC.
L.._ 1000 EAST 146th STREET, BURNSVILLE , MINNESOTA 5533T PH 433'3000
CERTIFICATE OF SURVEY
L7251 al Descri tion:7 J _44.JFL4L74" _ &
SCALEst'=3ti'
(950,o)
150,Y3
R4Z.61
So� 6b
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
FINISHED GARAGE FLOOR ELEVATION
BASEMENT FLOOR ELEVATION
TOP OF FOUNDATION ELEVATION
,trvc,/M.4' : z'v4' if? L,L'7 ' 4 4W S1 ,a±CW I.
st 957.67
3D fT FON T 4911/117/A16
S47&444' L/N
s, Sidi INGINEERIl' 'G DEPT
zs
,20
j
It
"
L
DRIVNAGE AND
1/77L/TY E4SEM8Nr
1 hereby certify that this is a true and correct representation of_A tract
land as shown and described hereon. As prepared by me this tilel day
JUL,y , 19 g3 . Vi.
41447-0, Minn. Reg. No. /6085
~ . INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: F~'
Eagan, Minnesota 55123 Date Issued: E'
(612) 681-4675
SITE ADDRESS: , „ l. APPLICANT:
t{f . ~ ~r1 11 I ~ • I ltil z~~ I I I' ii~,i~
~ ii , i tifi :t ~ I I. ~ r i• i i, ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . .
~ i r~~. ~ i ~lM i M~,
f1I I~i fsI ilrty fNFi i
,i
f I ~'f I'1 i
. . .i . ~ , ~ ~ .
~ ~
Pem,n Mo. aermn Mokd.r oete Td.phorw e
. 31{N
PLUMBING ~
HVAC '
ELECTRI j.
ELECTRIC
Intpnctbn Deft kap. Comm
Footinps 1
~J
Fourwatfon - ~-~3 uPecQ
FmrkV o s 3
Roofing
Rmo Pbg. 930- ~
R°"gr'
ISUL
F^eoace 10f1/4 3 fIw
Fnel Htg.
Orsat Test
Final Plbg. Pb9- lrspec.ior - NotifY PlumDer
Conret. Meter
Engr./Plan
eag. Final 01f ~o
DeCk Ftg.
Deck Final
weli
Pr. Disp.
INSPECTION RECORD ; ; ~
~ CITY OF EAGAN PERMIT TYPE: 0,;?21 4
I
3830 Pilot Knob Road Permit Number:
~ Eagan, Minnesota 55122-1897 Date Issued:
! (612) 681-4675
ri ? - I- Li i Es iA 141
SITE ADDRESS: Jill' J~j Ht o c ; ! APPLICANT:
{ . . :10 t! ( . 1
PERAAIT SUBTYPE: TYPE OF WORK:
INSPECTION .
_J)
L
I ELECTRIC PermR No. Pe?mk Noldor Oab Tslephorn #
I I
I PLUMBING
I
I HVAC
I k?spwtion Wb Insp. CommorKs
I FOOTINGS I
I FOUND
FRAMING
I ROOF1WCi
ROUGN
PLUMBINCi
AIR~TEST II
ROUGH
HEATIN(3
I GAS SVC
TEST I
INSUL
GYPBOARD
FIREPLACE i
FIHEPLACE
AIR TEST
I FINAL PLBG I
I FlNAL HT(3 I
ONSAT
TEST
I BLDG FlNAL II
BSMT R.I. I
I
BSMT FlNAL I
i
DECK FTO DECK FlNAL I
I I
I
T-1
I
INSPECTION RECORD
;,I I 1 1 ;
CITY OF EAGAN PERMIT TYPE: 4i-,k 0F.,
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
r~-+-r~-~
SITE ADDRESS: 1. ti 1~ 14 i: i(1( i i APPLICANT:
. . it t_it !~~N N f i ~ 1 ~ i~~ ~ naNI : I
iit 11 s114 it irs , t
PERMIT, $YQT~YPE: TYPE OF WORK:
INSPECTION D. .
;.n~11~i1 ~ ra t I r•tnl
~ I
~ __j I
Pertnk No. Parmk Holder DaM Telaphwe t
ELECTRIC
PLUMBING
HVAC
Inspection Da" Insp. Comrn~nb
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
7EST
INSUL
GYP BOAFtD
FIREPLACE
FIREPLACE
A1R TEST
FINAL PLBG
~ FINAL HTG
ORSAT
~ TEST
f
I BLDG FINAL
II BSMT R.I.
BSMT FINAL
')ECK FfG
C)FCK FINAL
~ _
, .
a~ ~ . .
F'-4
t W"ertificate vf cccupanc~ .
(Kitv of Cfagan
TOattmcat af IxiO* au#pecriou
nis Cenifecate issued pursuant to the requirements oj the Uniform Building Code
cerrifying thot at the tinte of issuance this structure was in coinpliance wrth the various
~
ordinances of the City regulating building construction or use. For the followirsg:
I
use Cltssifi=tion: SF DW Bldg. Permit No. 71 SM
O-uparcy Type RMI ZoninE District RJ. Typc Cons[. vg
OlroeroT8uiktin4NliCr NII.j.ER fYtVS Add.-YSQ LTA_ ~~4AnA~~
Btdyding Addeess 528 WM M1.S (Y1$'t I,cwaliry TA4, 111, MSrr tJ utr r c
BWIding
POST IN A CUNSPiCt10l1S PlACE
Address 528 wESroN t[na.s Ou[tr Zip 5512 3
L.ot 14 Blk 1 Sub WESiC7N HILts
THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECTION.
Date: W/O ~j-~ Yes No Inspector: a/
Final grade (6" from siding) '
Permanent steps (garage) ~
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass ~
TraiUwrb damage
Porch
Basement finish
Deck ?
Please verify with the builder the removal of roof rest caps from the plumbing system and the shutroff of water supply to
the outside lawn faucet before freeze potential ezists.
ContaM engineering division a[ 681-4645 before working in righFOf-way or installing underground sprinklet system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
PERMIT ,,-c,
_Y,, CiTY OF EAGAN /,k?
3830 Pilot Knob Road PERMIT TYPE: s u i Lo i n G
Eagan, Minnesota 55123 Permit Number: 021506
(612) 681-4675 Date Issued: 0 7/ 19 / 9 3
SITE ADDRESS:
528 WESTON HILLS CT
LOT: 14 BLOCK: 1
WESTON HILLS
P.I.N.: 10-83750-140-01
DESCRIPTION:
Building,Permit Type SF DWG
6uilding Work Type NEW
'UBC pccupancy~ R-3 M-1
' Construction Type VN
/ Zoning R-1
~ Building Length 58
Building Width ~ 38
~
~ . /
- r
,
:
REMARKS:
S&W CONTRACTOR - GENZ-RYAN PLUMBIN6 PRV
FEE SUMMARY:
VALUATION $132,000
Base Fee $751.50 MISC FEES $1,744.50
Plan Review $488.98 Total Fee $3,800.48
Surcharge $66.00
3AC $750.00
SAC % 100
SAC Unite 1
Subtotal $2,055.96
CONTRACTOR: - APplicant - ST. LIc. OWNER:
JOE MILLER HOMES 14544663 0002431 MILLER HOMES JOE
3459 WASHINGTON DR 3459 WASHINGTON DR 204
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
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 Mn.
Statutes and City of Eagan Ordinances.
- J
~
A PLICANT/PER ITEE SIG A U E SSUED B. S GNATU E
REACTIVATE _ CITY OF EAGAN -T '3 S' (3v, yy
PERMIT 1993 BUILDING PERMIT APPLICATION
681-4675 7Jj~~,~{
VYa
~
SINGLE MULTI-FAMILY 2 sets of plans, 3 registered site surv ys, 1 co~~ q*grter y
calcs. ~Ul
COMMERCIAL 2 sets of architectural & structural pla
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.
ate 2_ Valuation of work f~~
Site Address:
STREET SUITE M
Tenant Name: (commercial only)
IAT ~ BLOCK __L_ SU" a / T/P.I.D. N
Descri tion of work:
The applicant is: ? Owner O<Qontractor 0 Other (Describe)
Name Phone
Property LAST FIRST
Owner qddress
STREET STE M
City State Zip
Company JOE MILLE.H HOMES phone ~f5 ~f -Z/ 3
COt1t1'aCtOr )Address SUITE 204 li cense ri Exp. 9Y
City #0002431 State Zip
ArchitecU Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber - Processing time for
sewer & water permits is two days oncec rea has een approved.
I hereby acknowledge that I have read this aPPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: • "
¦
~ OFFICE USE ONLY .
~
BUILDING PERMIT TYPE ~ . . ' ,
,
? 01 Foundation O 06 Duplex 0 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 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
P" 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATtON
Const. (Actual) V- N Basement sq. ft. MWCC System y;-S
(Allowable) v_ N lst F1. sq. ft. City Water
UBC Occupancy R-3 r+t-I 2nd F1. sq. ft. PRY Required
Zoning R-I Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code c~!
APPROVALS i
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee voimci«,: S 132,000""
Surcharge
Plan Review 6~ ~A At.
-~'2 kZy^ 762~
License K /7 ~ (cl
MWCC SAC 2; Y 60, c
City SAC BSMT; -
Water Conn.
Water Meter °Ibx l`t= 6Uy 7 c, Z 46
Acct. Deposit 12X ~.=31 L
S/W Permit _ I ctl~
S/W Surcharge ----.--Treatment Pl. 9 74 x)T G/o
Road Unit IST f~a.: Park Ded. -
Trai l s Ded. F~ ;s277 • 7'l X SN 5~~ S c)
Copies 2-Nb FL,,,,r2;
Other
Total : Pa l S~
SAC % 03 j 3 ~ y d G
SAC Units 1 !
J
=-a^:-.-c:t~f~'._^ =•v.~_~- ..i~_ ~
. ?oE Miu.Ea f{a.~~5
~~3~ s Pinii'ti~ns° ~a°ln?Eie s3unvevons'^' #SB60,OJ fmNGINE6RING ~
COMPANY, INC. ~
~ IOOD EA6T 116tA STREET, BURNSVIILE, MINNESOTA 56337, PH 4, 32-3000
CERTlFICATE UF SURVEY
Legal Description:
D.470 T C GO ~1TY~ /Y1L~lNEurO7A
(1¢1_o ) pCNOTES EXISTINQ ELEVATION
(150,0) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
150, 3 = FINISHED QAHAGE FLOOR ELEVATION
q4Z, bZ = BASEMENT FLOOR ELEVATION
59 0, bb = TOP OF FOUNDATION ELEVATION
BCALE : 1' = 30' 9ENC1-111142C' : TNL/ 9 CPTS 4AND 5, &4C&
ElFK a 957.67
30 P7 FRON T 9U140/N6
SET~CK L
~ 30. p0
0
~
~ / Y
~
~ ~^~l~ ,2~ ~d~~kl BR](~IRT~IEI@YRTC DEPT
a ez,
3
J~' / ~ °0 ~•g3 2 ~ j~, n ~ ~
3
J ~ V.
~/4.
o° 10 ~y. ~ ~'~^~l 26,00 ~~•4n ~ ~ ih ~
`J
ro
DRA/N"E AND
(/T/L/TY VSE/YIWT
~ o ~ 'i.1•, ,
I hereby oertify tliat tliie is a true and correot repreeentation of d traat 4
land es stiown aiid describad liereon. As prepared by me this ~S FI day ~
~DLV - 19q3• ' .
Minn. Reg. No. 16085
LOT 60RVEY CHECRLI6T FOR RESIDENTZAL
i
• ,
BVILDING PERMIT APPLICATI
m
~ V PROPERTY LEQAL: ~ I l~i~~ ~
m
a<~ Da t e o f 8 u r v e y: 7 Z d/ G/ 3
DOCUMENT BTANDARDB
0"10 0 • Registered Land Surveyor signature and company
Br 0? • Building Permit Applicant
9~-? 0 • Legal description
B~ 0 ? • Address
@~ ? 0 • North arrow and bar scale
B~ 0 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows with slope/gradient
D[~ ? • Proposed/existing sewer and water services
6' ? 0 • Street name
? • Driveway
ELEVATION6
Existina
0 @~ 0 • Sewer service
{f ? 0 • Lot corners
p lr 0 • Top of curb at the driveway
D CYD • Elevations of any existing adjacent homes
Prooosed '
~f 0 0 • Garage floor
u ? d • First floor
~ 0 ? • Lowest exposed elevation (walkout/window)
C~ 0 0 • Property corners
0 • Front and rear of home at the foundation
PONDZNO AREAS (if aoolicahle)
? rf~f 0 • Easement line
O L7 ? • NWL
? O"' ? • HWL
0 C- ? • Pond q designation
0 C'1~D • Emergency Overflow Elevation
AIMENSIONB
~ ? ? • Lot lines
cr 0 ? • Right-of-way and street width (to back of curb)
B' • Proposed home dimensions including any proposed decks,
overhangs greater than 21, pozches, etc.' (i.e., all
structures requiring permanent footings)
Zf • Show all easements of record.and any City utilities within
those easements
4T 00 Setbacks of proposed structure and setback of adjacent
/ existing homes
• Retaining w re i ments, if any
Reviewed•
Nam / te
October 1992
Cities Di it~al Qualitv Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
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AdopL-1on Gffecl-lve
Owner`~~I~~~ I PtlQne Data
Slta l+ddcess Lo OG
Phone
Contrector
Flullding Classlflcnl•lon: Type I+1 (Single Famlly 6 Duplax)
, Type A2 (Resldentlal, 7 storlos or lass) _(Over 3 storles)_(Other)
~
?iQTF~nmelgLk-[~ g?.S_1_and-A_f ira L.
~Gl1GI~EI`II1C4f~118'1'I~li G/~~
1. Bulldln9 Perlmel-e~-VjSG~+F"'G1-_ 67L•~1
2, Wall helght (ground to eeve) 11 ft•
~j<
1. X 2. (aUovo) grose wall nrea2~p `<pe069•et• I
q, pullding dlmenslons (L) ' x(W) ' __LL"!eq.tt.rooP & floor area
5. Sq. CooL area oE rlm jo1sL- - F`]gqr X~j.~~~~erimeler'v, I g9•tt•
C/
e-i j~~I , 12 ° I
6. Doore - Area
'Phiclcness ln U. tncLor
Type oe Conetruction Perlmeter ft.
IlanuEocturer
7, Tol-al door's parlmeler eL. .
O. WLidowe t IiWR .l1f.~ cl-uror~L-L 8L-ata approved
u enctor % 1'J • I
SIZE AItGA ( Sq. Ft. ) NUIIDER OF TOTAL ~
TYPC EACH Ut1I'PS SQ FEET I
A ~-~p_
---~r
9. 'Polnl eq.tt. Glasa 1~~~~ • 10. Clreploce area: Wldl-1i % Ilelglit = X aq.Pt.
x1=1-1-°-I-E'-ly~~q.tt. '
11. Exposed CoundaL'Son: IlelghL- H ParlmaCer
REItOUELINC T.IID BUIIOIIG3 r'DEIIIG RIOVGDCWIICiGnLllLIiGY~ICOTl14R'71A`NTTIIOF1~HIt1IIMG
CODC ALIA{aANCC, IS UBGQ.
•
_1`
12, Freuiln~j nreu = lo$ oE grose`~ a11 urea.
l B
17. Gross ~~all nrea__
~
Nlndow area A~ 9•tL• U wlndowe ° ~ Uxl+
1 ~,x~
Rim )oisl urea A2 0 1 E9•fr• U rLn }oisC°1 0
66 sq.ft. U door uraa=' l ~ UxA
poor area A
~1~~~ pt,. U ol:her doore= ~ UxA °
oLlier claors aren A 9• 6 11~
xA
r~s ft. U found aClon= U
Exposed fndn A -
~ Uxl+ L'?
Framinq urea A'~CG-il-l- ~
IIeL wull sroa A~611LLJ-'9•E~• U wull° k UXA °
. . . Ux -
14. Gtoss wall area x 0.11 (A-1 olnqle Cnmlly 6 duplex) = allowabla Ux&/COde
(1~. aUove) .
x 0.27 (A-2 0l:lior roeldenLlol)
x .27 (oClier Uull(lln9s)
x ,20 (Over 3 etorles)
I'Ull mueL- Ue larger than or snme
u coao °F. ae 13[1 aUove .
15. Ceiling frnminq nrea (Af) e9uuls lOt of celling area
~
t.
15A. Gross celling area = X eq.t (I.) ~
150. Jo1sL- area (Af) ° lp$ colling arau r69•ft.
1~C. IIeL celling ureu (l+C) (15A - 15B) IL . - q'
U celllnq x A. xJ~/~° , s ft.
U trumLnq x A E °~x 1 O~
. 15D. 'CO'PA1. U x A
16. Gailing ucea (15A) x 0.026 (A-1 singlo Eam y 6 duplax)
o nllowaUle UxA/Codn •
x 0,033 (A-2 oLher rasldenL-lal)
x 0.06 (olllar)
O pTUll mueL- ba'largar than or oemo
A( 15A x U Codeae 15p ubove
- N.
HOTG: Use tl nnd A values oUtulned From pagae lr 3 °nd 4'
aCeo,r axaae4a tlie
~p~Tvalue'a ilQi`erel-n 1und LIieL-etl aPbul,lding hara deeorlbaddroel"
9LUte ot Illnnasol-n Unergy conservallon AcL-.
puto 9lqnnture , -2-
I ~ - - - UL1_L-- .
4
6~;~\ ~
~v
..y..--
oX l ZCp n
, o El
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•
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Vupor l~ucrlora o[ Lho polyaLhulai~o l:l~ln t ll~n huvu "o It vnluo.
, .
. t
FERMIT
~CITY OF EAGAIV PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road 0 3 0 2 2 4
Eagan, Minnesota 55122-1897 Permit Number: 0 6/ 13 / 9 7
(612) 681-4675 Date Issued:
SITE ADDRESS:
528 WE5TON NILL5 CT
LQT: 14 BLOCK: 1
WESTON HTLLS
p.I.N.: 10-83750-140-01
DESCRIPTION:
8 li41 dinyr Permit Type DECK •
Bulldang ~1o rk Type NEW
' 'CQnsus C4dcr434 ALT. RESIDHNTIAL
_.`v
~ . , ~
REMARKS:
FEE SUMMARY:
6ase Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWN,F~R: sicant
corr
~ 528 WESTON HILLS CT
EAGAN MM
, (612)687-9474
I hcreby acicnoWledge that T hav^_ read thSs applicatian znd st.,te that th^
iniormation 5s eorrect and agre3 to aamply with all aQplicable Stutc nf Nn.
Statutes wnd C3,ty of Eagan O,di,n,+nccc.
L - ON___~' O~ I
APPLI NT/PEF E 5 GNATURE ISSUE V. SIGNATUFE
' 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~ .
30 aa ~ CITY OF EAGAN ~
3830 PILOT KNOB RD - 55122 ~a
681~675
New Canstruction ReauircmeMS gemodeURenair Reauiiemenh ~f ! Z
? 3 regintered nde aurveya ? 2 coPbs W plan
? T copies of plans (indutle beam 8 window s¢es: poured fid. design; etc.) ? 2 site surveys (extedor atltlitWna & dedcs)
? 1 energy calculatWns ? 7 energy ealculaNons Wr heated aEdRions
? 3 copies of Vee proxrvation plen if lot platted after 711/93
required: _ Yes _ No '
DATE: L2 121 Q CONSTRUCTION COST:
DESCRIPTION OF WORK: Cxid~-p
STREET ADDRESS: ~4 1A~ ~ I I~ G '
?
LOT -J!jj BLOCK I SUBD./P.I.D. 1-h i--~S
PROPERTY Name: )amb'?'1 Phone 7- ` ~I
owNeR TJ""-~ S C~r
Street Address: 1~!~~~'~-~ -
City: Ct State: drn rl Zip:
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT! Company:'--!!~~t Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction ony): Penalty applies when address change
and lot change are requested once permit is issued.
1 hereby acknowledge that I have read this applicadon and sfate that the information is cortect and agree to comply with ali applicable
Sfate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ~EIVED
Tree Preservation Plan Received _ Yes _ No _ Not Required JuN 0 9 1997
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex AJ 15 Deck
WORK TYPE
~ 31 New ? 33 Alterations ? 36 Move
~0(32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump ~
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code ti/
Census Bldg ~
Census Unit
APPROVALS
Planning Building 0% Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
~ • '
.
~sro~ ~,J~,eT
~w
v ~
T,G•
135,.
a ~
~;4~ ~ ~ ~949•
W u, `5
5 ~5? _1 ~95! 3 ~ r ~ , ~ -
,
12'00
(9S 1 <1
.N
25.67 I ~
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• 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 PERMITS ARE.REQUIRED FOR EACH UNTT.
NO. FIXT'URES EACH TOTAL
I SHQW_F.R 3.00
~
WATER CLOSET 3.00 ~
BATH TUB 3.00
~
LAVATORY 3,00
LAUNDRY TRAY 3. Rpp 9
~ KTTCHEN SINK 3.00
HOT ATER HEATER 3.00 3
W
~ FLOOR DRAIN 3.00 q
I GAS PIPING OLTTLET • m;n;mum • 1 3.00 3
ROUGH OPENINGS 1.50 . b0
. WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. tic 15.00
U.G. SPRINKLER • 6ome under mnaL 3,00
ALTERATIONS • to cdsting 15.00
WATER TURN AROLJND 15.00
STATE SURCHARGE .50
TOTAL: ~
ct1'-P ,annuESS: bLJ('5ho/7 ~~/~~5 (~GC/7
OWNER NAME: JOC Ml lICr ( ,D/7,"V,
INSTALLER: GENL-RYAN PLUMBING & HEATING C0.
ADDRESS• 14745 South Robert Trail
CITY; Rosemount STATE: MN ZIP CODE: 55068
PHONE (612 ) 423-1144
• j .
S OF PERMITTEE
ti
PWUSE.!PNC.Y <
, . .
n ~>`~L' : : . . : . .
: ~ ,
. . . . . .
p ; . .>z ~ , aDA~ ' ~
1993 MECHAHICAL PERMIT (RESIDEIVI7AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIF2ED FOR EACH UNIT.
- - - - - - -
714 NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 1 _Go-9~3
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OLTTLETS (MINIMUM I@$3.00 EACH) l n,.v~
ADD-ON/REMODEL (ExIST[NG CoNS7RUC77oN) $ 15.00
STATE SURCHARGE .50
TOTAL ~
SITE ADDRESS:_ ~5, l a~~~~,~~ N~ 1 l C Ck-
OWNER NAME: ~Ti ~-e ~ Y V l i I I~ Y' lL-r~C C T ELEPHONE
INSTALLER:
ADDRESSE. ~--1 -p, oc1
CITY: V G_'C M i y-\ ql f:'~ STATE: YY) k ZIP CODE:
TELEPHONE
_ ~
G ATURE OF PERMITTEE
71<~/s3
a
cm-ustaNr<~ ,
. . ...i..y.::.: ~~.V~~r......:r~..`.'... . N~'..:r.j ~.(j.r :~Vi.Y. \ ~n..`._^i':~ :..Ai j~ ~~:..wn~Lw. •
~
.
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. . . . . . . . . .a.~.......ia..~..~ . . .
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a....« .......~.,...-...~~...v.......,..s............~.a.c......w....~..,........~...„.nw.E>....a..«.i..`v."'.:.,.a........w`L.ax`.a:c.Y.?a.'.. +.~:v....:.....::.:.
1993 MECHAMCAL PERMIT (COMMERCIAL)
CTTY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL CObNIERCIALIM)USTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDWGS OR OTI-iER MULTI-FAMILY BUILDINGS WI-IEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
DATE: CONTItACT PRICE: $
NEW BUILDING
INT'ERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF COIvTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMTT FEE.
TOTAL $
- SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAR1E: (IMPROVEMENTS ONL1)
WSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
. PERMIT ~ CITYOF EAGAN
3830 Pilot Knob Road PERMITTYPE: euzLoztie
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 0 S 5
(612) 681-4675 Date Issued: 0 6/ 2 4/ 9 6
SITE ADDRESS:
528 WESTON HILLS CT
LOT: 14 BLOCK: 1
WESTON HILLS
P.I.N.: 10-83750-140-01
DESCRIPTION:
6AS
Building Permit Type FIREPLACE .
Building Work Type NEW
i Census Code 434 ALT. RESIDENTIAL
~
,
- . . .
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - sT. LIC.OWNER:
FIRESIDE CORNER INC 16331042 0001068 LARSON LADELLE
2700 N FAIRVIEW AVE 526 WESTON HILLS CT
ROSEVIIIE MN 55113 EAGAN MN
(612) 633-1042 (612)687-9474
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State oP Mn.
Statutes and City ofi Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE ISSUED BV: SIGI AT RE
• - CITY OF EAGAN
1996 F REPLACE PERMIT APPLICATION
681-4675
DATE: ~
DESCRIPTION OF WORK: 4 INSTALL 110( FIREPLACE: _ WOOD BURNING ~ GAS
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
AREA TO BE INSTALLED IN: 13~9 C,-~ ts-irI lk,-,~ l nl t~`?o (S 7/~?G ~d~~~"
STREET ADDRESS: 572-g tl~l ~ 57a nJ ,~l~--L-- S-LOT 14 BLOCK 4 SUBDJP.I.D. CL)~~''`
APPLICANT: (circie one only) 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.
PROPERTY Name:`L-A1Zs a~ ~A'D ~ L,LE Phone ¢ 7¢'
• . OWNER
Signature:
Street Addressk5--)- e GZ-
City: State: M-J Zip: ~^l z Z-
890 -aT~sB
FIREPIACE Company
l1~6~ I?LPhone -7 <2
k-U
INSTALLER
Signature: w ~
Street ddress:,3850 -W - NY (3 License /a 6 g
CityB,+2,JS\/,1Q-K~ State: M ~ Zip•S~ ~37
GAS LINE Company: Phone
INSTALLER
Name:
Signature:
Street Addres
City: State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 14 Fireplace
WORK TYPE
0 31 New o 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS: Chimneylflue must be inspected before concealing.
FEES
Permit Fee
Surcharge
Other
Copies
ToWI:
`S~
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reauiremenb RemodellReoair Reouiremenh
. 3 regislered site surveys shovnrg sq. ft. of IoL sq. fl. ol house, and all roofed areas • 2 copies of plan
(20Yo maximum lot coverage allowed) . 1 set of Energy Caiculations for heated additions
• 2 coDies ol plan showing beam 8 window sizes; poured found Eesign, etc.) . 1 sde survey for exterior adtlitions 8 decks
• 1 set of Energy Calculations . Indicate if home served by sep6c system for additbns
• 3 copies of Tree Preservation Plan if lol platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less unrts)
DATE z-0 VALUATION
SITE ADDRESS SZ% N_L4aoY2 Ck- MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK QeLLC~ e C0 `,;CAnLgcrn Il.ry,iSSZ FIREPLACE(S) _ 0_ 1_ 2
SELA ROOFING & REMODELING, !i\! uAkAJ ' `""j
APPLICANT d100 EXf'FLSInR BLVD
STREET ADDRESS ST. LOUIS PARK, MN 55416 CiTY STATE ZIP
TELEPHONE CELL PHONE # FAX #
PROPERTYOWNER v(~,vtSL_ TELEPHONE#(0-7 S O4`"ZZ
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y([\NLS01':\ RULES 7670 CKCL:CORI' I MINNESOTA RUI.LS 7672
(d submission type) . Residential Ven6lation Category 1 Worksheet Submitted . New Energy Code Worksheet Submifled
• Enargy Envelope CalculaUOns Submilted
Plumbing Contractor: _Phone # _
Plumbing systcm includes: Watcr Softcner _ L.1wn Sprinl:ler Pcc: $90.00
Water Hcatcr No. of R.I. Baths
No. of BaUis
Mechanical Contracfor: Phone #
Mcch.mical systcm includcs: Air Condiuoning Pcc: $70.00
_ Hca[ Rccovciy Systcm
Sewer/Water Contractor: Phone #
I herebY a acknowled9e that I have read this aPP. lication, state that the/ nformation is corre n~ a9r e t comAlYI
with all
dinances.
PPlicable State of Minnesota Statutes and CitY of Ea9an Of~
~~1II i~~~5!~=I
/i L.
Sfgnature of Applicant V
Y-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 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 ? 70 08•plex ? 18 Deck ? 23 Porch (screened) ? 36 Mulli
? OS 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 (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement , 'Demolition (Entire Bldg only) - Giva PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings(deck) _ FinaUNa C.O.
_ Footings (addition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _[ce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacemenQ
_ Insula[ion _ Retaining Wall
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
6035';-~, is sa
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date _7 / ? / V
Site Street Address J~ag` C4
Unit #
Property Owner Telephone #(/oj/ 7a - 019A
Contractor d=1 Telephone # (651) Z/VS
Address 31~ 20 ~cre+QAQ. ~aQ. City State /nn. Zip.16/a3
The Applicant is: _ Owner ?Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_WaterTurnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener r Water Heater $ 15.00
_L~ replacement _ additional
Lawn Irrigation System new , repair _rebuild $ 30.00
Vi 6
State Surcharge <i . 5 2004 $ 50
Totaf $ /S 5d
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicants Printed Name Applicant's Si nature
~/5;sa
7000
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemodellReoair Reauirements Offce Use Onlv_
3 registered sRe surveys showing sq. ft of l04 sq. iL of house; and all roofed areas 2 copies of plan CeAof Survey Recd _Y _ N
(20 % maximum lot wve2ge allrnved) 1 set of Energy Calculalions for heateG addNOns Tree Pres Plan Reod _Y _ N.
2 copies of plan showing beam & windowsizes; poured found design, etc. 1 sile survey for additions & decks Tree Pres Required =Y _ N
lsetofEnergyCalculadons Addition-md¢afe8oo-srtesepticsysfem On-sAeSepficSystem_
3 copies of Tree Preservatlon Plan if bt platted atter 711193
Rim Joist Detail Options selection sheet (61dgs with 3 of less units
Date / Construction Cost ~ ~o d
SiteAddress S2~ wQi51~ti C-/ • UniUSte #
Description of Work 77 C2 l&~,rda 10 /'foUS c-
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner C~1,4N L X4-4 04P?9 Telephone #(dT~ ) 4W ' O/ 72
Contractor SELA ROOFING & REMODELING, !NG
Address ST LOUIS PARK MN 55416 City
State ID #0001050 ZiP Telephone 6lZ ) 8'2 3• P0)44"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[eeorv 1 _ Minnesota Rules 7672
Energy Code C0t0gory . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet
(q submissionType) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Epqj~with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
~
v 11IN
nm\k Telephone )
Licensed Plumber
SrP 1
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
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.
ApplicanYs Printed Name ~ Applicant' Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 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 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 37 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addilion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Atteralion ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Oemolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Foorings (deck) _ Final/Nlo C.O.
_ Foo[ings (addition) _ Plumbing
Founda[ion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTes[ _ 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
TreaUnent Plant
License Search
Copies
Other
Total
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 528 Weston Hills Ct
Lot: 14 Block: 1 Addition: Weston Hills
PID:10- 83750- 140 -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:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
PERMIT
City of Eaan
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When w all studs or ceiling joists are exposed, hard -wired detectors are required . Battery operated types
are acceptable if the wall/ceiling finish (i.e. s heetrock) has to be removed to install a smoke detector. Tim Schenk El
der -Jones Building Permit Service 1120 East 80th Street, Ste. #211 Bloomin gton, MN 55420 952- 345 -6040
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Steven K Rapuano
528 Weston Hills Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA076904
03/09/2007
ePermit
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
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109910
Date Issued:04/15/2013
Permit Category:ePermit
Site Address: 528 Weston Hills Ct
Lot:014 Block: 001 Addition: Weston Hills
PID:10-83750-01-140
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Steven K Rapuano
528 Weston Hills Ct
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143337
Date Issued:06/13/2017
Permit Category:ePermit
Site Address: 528 Weston Hills Ct
Lot:014 Block: 001 Addition: Weston Hills
PID:10-83750-01-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven K Rapuano
528 Weston Hills Ct
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
� (1
For Office Use
A
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pioufv-
Permit� #: /`7`� 4 (U � "�'l
411' City
O Eakali Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1are)- "/
Phone: (651)675-5675
buildinginspections(a.citvofeaoan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: +J it 0 ft)\)5 C t Unit#:
Name:.3( v 1/1 Ci1vl0 Phone: i)\-;\
Resident/ 'Z t/ 1 1
, i o v fil ' 1 S C
Owner Address/City/Zip:
Applicant is: Owner Contractor t 5
Description of work: p-{ �{r) X I 11 Y c `� t 2 -t ' 1 ca `E2'�k s� Sri
Type of Work 7
Construction Cost: 3 r t0 ® 0 Multi-Family Building: (Yes /No ) ) V�
Company:IA 1¶j 1"1 t \C-. ( U YYl Contact: L- �� �✓'� �C%1
Address: )2 "Ili N (.0 1\'{ 1 City:60 Y1It <,�/1 1 1e „
Contractor
t n yam( .,,,-.1 C
Stater 1+ 'Zip: 5 533 1 Phone'CS G 136 '6 Email:)Com` It-0(A9 I VJ C.t - co
License#: C51 O 0 iJ 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:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information maybe classified as non-public if you provide specific reasons that would permit the.City to conclude that they
are trade secrets.
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.citvofeagan.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.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%
x Mt-
Applicant's Printed Name A p is nt s Signat
Page 1 of 3
DO NOT WRITE BELOW THIS LINE /W6 /.6
SUB TYPES �a7 g t(,)6_071 h //S c .
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) Exterior Alteration(Multi)
Multi 16 Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
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
DESCRIPTION
Valuation 4 3 00 i a-0 Occupancy _772 E —/ MCES System
Plan Review Code Edition ,114 Zeis SAC Units
(25%_ 100%>) Zoning # -•1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V 3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: Footings _Air/Gas Tests _Final
O Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_ EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower PanOther:
Reviewed By: '',F0 ill/4
(//' 418' , Building Inspector
RESIDENTIAL FEES
ii Base Fee 2 a $�- r
Surcharge / C 0 a .S , /'`T.
Plan Review C
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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