4612 Weston Hills Dr . ' _ ` . . . .-.~.TINSPECTION RECORD . .
' CIY'Y OF EAGAN ~ PERMIT TYPE:
3830.Pilot Knob Road Permit Number: ~4
Eagan, Minnesota 55123 Date Issued: o' l/ ; y0 `
(612) 681-4675
SITE ADDRESS: APPLICANT:
. i 1rri ~1 t ~ i nf~ - ~ ~ ~,~i,~: t~~r•„ ,
~!t 1~~i1 111 I I, , a, I• 1 q~.ot ~?NA'I
PERMIT SUBTYPE: ~ TYPE OF WORK: "
INSPECTION D,
( 1 ~ri, • ~ r r,t•11 rJ
I r! .+li N E 1~~tJ ~ f 1 h!itil '
~
i . rl :ti t; i. ' 1 i Q ~ , .
~ ~
. Permit No. PermN FloldK Date TeNphone N
S/HU
• • PLUMBING
HVAC go-
ELECTRIC j ~
ELECT A/I 49 /O 4" 11 o+~
Inspwtion Dme Imp. Commenb
Foofings ' 7( y/
i
Foundatfon y
Framfnp D
Roofing
Raiyh PIbO- ~ .
R°"o A
isui. (iJ.,, ~/!4 4J
Freplace
Furet HoD.
Orsal Test ~ a4ffo
Fu,W Pbg. 4a- piog. l - NotifyPl„mbe.
c«s+. MOW
EngrA4,n
aldg.
Dedc Ftg.
oe& FinW
3
we~~
~
Fr. Diap.
J
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: I,, !<0 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
14 Li! I#ON !t lI I , tilr iI 1 i;, i, 0. M 1( flnt 1
I!i .~nt~ IIlI I , (i.I, r 1,;1 .
PERMIT SUBTYPE: TYPE OF WORK:
01 rPi 1 irii .~i ;,i i; r„A i 1 11w
INSPECTION . D.
, I:l',P1 I hl1, {(J•. Ili i- f IvJ
'-Mf;i1 I N 11 tic) f 1 r1A1
• 1 f`, Al:t F;f WU l f-A 11 I ut; r+N`or IA IlMH 1 N+, ti?i I i 1f I V It r+f
~
F
~ ~
Permk No. Permk HoWe? Dste Tdephone A
SIIN
PLUMBING
HVAC
ELECTRIC `
ELECTRIC
kqpsetbr, ogs q+.p. canm.na
Footirgs I
FoiMldetion
O
FrwnkV wply~
Roofing
RM* P'bg- 84*
O
Rmo Hig-
lsul.
Fireplace
Final HIg.
Orsal Test
Final Plbg. Plbg- Inspector - Notily Plumber
Canst. Meter
EngrJPlan I
I
~ FkW ~
Dedc Fig. I
I
Deck Final I
Wetl I
I Pr. Disp. I
I
.
1. z S ~f- 30 0
/ OU/SE H TING TEST RECORD ^
ADDRESS ~J ' APT._FLOOR CIT7 SUBURB ~~rt
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY 'I A< <
Electrital Work By Gas Line By • i (-t,
TYPE OF HEAT GA _ FA HW STEAM _SPACE HTR. _UNIT HTR. -OTHER
GAS D SIGN CONVERSION
MAKE t4~C MAKE OF BURNER
Model Model
Serial Max. BTU Raring
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT eat Plug Vent Size
Valre - - KIND OF LINE SIZE NO IE
Limit ~C~ Oraft Hood ~ I~ Reoularor Li
Limit SaHing r Filtar• $iza Numbar
Fon $efting Chimney Location Insida K ^/Duta~ ~
Pilot Typa Chimney Consiruction ~ bAf
Pilot Make
Pilof Model q $moke Bomb 'Miring
Pilot Timing ^ 0.aft Teif Tap ~
L.W. Cut Off ^ Door Pre:sure Lightj4p ln+t
C~'3
Pressure Psrcent COZ Dote Taated ~ L
Input CFH Per<ent OZ Compony Tesfing
Stack Tamp. ~Percant CO Q( ~ Nama of Tsstar
414-
Fann 235
c + '
.a - ' .
~erti~icate.o~ ~ccu~anc~
~it~j o~ ~agan
Tepartment o` ZaiWiag aa4pection '
This Certificate issued pursuant ta the requiremersts oj the Ursijorm Suilding Code
certifying thar at the teme of issuance this sbucture was irt compliance wirh the variaus
ordinances oflhe Ciry regufating building construction or use. For the following:
Sp Dku 21332
U. Clus'ification: Bldg. Pennit No. _Nff-
Occup:mcY Type -1KMWTEKES-M Zoning Dislrict
3785 q ~ +'.z ~ rvG1U1C7 A
OwMr of Budding AdAtuc DIM S L, ,
Buyltl n~ g Address LocaLly
!~/6 ~ /s
Dam
Budding cial
POST IN A CONSPICUOUS PLACE
Address 4612 t,Esiav xuis D?uve Zip 5512 3
L•.ot• ' I Blk 2 Sub WESmN HIIu~i
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: sa4 Yes No Inspector.
Final grade (6" from siding) LI'll
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engincering division at 681-4645 before working in rightof-way or instalfing underground sprinkler system.
Whire - City Copy Yellow - Resident Copy Pink • Contractor Copy ~
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-687-4675
NewConetmatbnHeaulremente HemodeVHeoalrReaulrementa
• 3 registereG sRe suNeys show'vig sq. M. of bt, sq. ri of house; aM III rootetl areas • 2 coDies of pgn
(209% maximumbtcoveregeallowed) • 15etotEnergyCalCUtatbnslorheatedadOtlbns
• 2 copies of plan showhg beam 8 window sizes; poured tound design, etc.) • 1 sile survey lor ezterior atltlAbns 8 decks
• 1 set of Energy Calculatbns • Indicate A home served by septic syslem for add'Abns
• 3 ooples of Tree Preservatbn Plan tl iot platted alter 711 f93
• Rim,bo Detail Optbns selectbn sheet (bl0gs wIN 3 or less unBS) ~v
DATE ~ VALUATION / D6D ~
SITE ADDRESS 4~ V~S Vf~ ~ P MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK ~R ~UbC" FIREPLACE(S) _ 0_ 1_ 2
APPLICANT l AIi0a D cP?1J
STREET ADDRESS )-J `715 12 = A J P , Af CIiY nQSTATE l' ZIP
TELEPHONE # CELL PHONE # FAX #
PROPERTY OWNER TELEPHONE #
COMPLETE THIS SECTION FOR ••NEW,, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(f submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calcuiations SubmitteA
Plumbing Conhacfor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhacfor. Phone N
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Confractor: Phone #
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all appllcable State of Minnesota Statutes and City of Eagan Ordip nces ; ~
Signafureo(Applicanf I
~-g-~-298~ ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Req d
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacemenl 'Demolition (Entire Bldg only) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(newbldg) _ Final/C.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replecement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
ciry SAC
Water Supply 8 Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total "
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I
Eagan, Minnesota 55123 Permit Number: 021332
(612) 681-4675 Date Issued: 0 6/ 3 0/ 9 3
SITE ADDRESS:
4612 WE3TON HILLS DR
LOT: 1 BLOCK: 2
WESTON HILLS
P.I.N.: 10-83750-010-02
DESCRIPTION:
Building__Permit Type SF DWG
Building 4Jork Type NEW
~ UBC Occupancy", R-3 M-1
/ Construction Type V-N
' Zoning ~ R-1
Building Length 48
; Building Width 46
'
;
ii ~~~f~',~_~i- •
\ . ~ ~ ~ ~ . ` '
REMARKS:
S & W - PRV
FEE SUMMARY
VALUATION $99,000
Base Fee $635.00 MISCELLANEOUS $1.744.50
Plan Review $412.75 Total Fee $3,591.75
Surcharge $99.50
SAC $750.00
SAC 8 100
SAC Units 1
3ubtotal $1,847.25
CONTRACTOR: - Applicant - sT. LIC. OWNER:
ROMAR HOMES CO 14844044 0001281 ROMAR HOME3 CO
3585 N IEXIN6TON AVE 330 3585 N LEXINGTON AVE 330
ARDEN HILLS MN 55126 ARDEN HILLS MN 55126
(612) 454-4044 (612)484-4044
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ord3nances.
- ~
APPLICANT/PERMITEE SI ATURE~ ISSUED Y S GNA7 RE
REACTIVATE _ CITY OF EAGAN 3~~~• 7~
),/PF.RMIT w , 1993 BUILDING PERMIT APPLIC
681-4675 JUN Z 5 1gg3
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
I specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date C110 / Z_'k Yaluation of work C1(lZ)
Site Address:
STREEi SU17E M
Tenant Name: (commercial only)
IAT ~ BLOCK ~ SUSD. P.I.D. N
Descri tion of work: i-\
The applicant is: ? Owner ~54ontractor ? Other (Describe)
N ame Phone
Property LAST FIRSTOwner Address ~~4~ k,'-)
STREET STE N
City Q\P.c::x- 1State m'iJ Zip VS~\T',lp
Company Phone
Contractor Address~~V_,License #Oft~C~`T4,\Exp.
City State 'mkv Zip ~D~4.
Company Phone
ArchitecU
Engfneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
~
OFFICE USE ONLY
BUILDING PERMIT TYPE ~
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?6 Baseioent,Er~i~h
~ 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Pool
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Corten./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE -
V 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System y c5
(Allowable) v- N Ist F1. sq. ft. City Water y ~
UBC Occupancy R-~ M-~ 2nd F1. sq. ft. PRV Required ~
Zoning R-1 Sq. Ft. total Booster Pump
p of Stories Footprint Sq. ft. Fire Sprinkler
Length _44~ On-site well Census Code i~
Depth 46 On-site sewage SAC Code o~
APPROVALS
i
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final O Draintile ? Fireplace
Permit Fee vaimcim: $ noo -
Surcharge GA~cGc.S Z2X~2=`~8~-}x II~ = '1~~4y
Plan Review
Lise
MWCCnSAC 485~' ay Xy~ 11oy
City SAC ~y
Water Conn.
Water Meter ~sT F~ooR•. I o6U x 15= IS 96 °
Acct. Deposit i
S/W Permit (~S?~1T- ~pbU
S/W Surcharge
Treatment Pl. /4x16= ZZy
Road Unit
Park Ded.
Trails Ded. 13$4 X Sy= 14 936
~
Copies
Other
Total: ~
SAC % I b ~
SAC Units ~
2422 Enterprlse Drive
# Mendoto Helghls, MN 55120
* PIONEER I,AND SURYEYOR$ •[IVIL ENGINE[RS (612) 681-1914'F4x 68I-9488_
~ en ,ne~,r n LWO PUNXEAS • lu~O5CA0E ARWIRCiS ~ 625 HighwOy 10 Noflheast ,
* ~ * g Bloine, MN 55434 ,
* * (612) 783-1880•Fox 783-1883
Certificate of Survey for: ROMAR HOMES, CO.
House Address: 4612 Weston Hilis Drive Eagan. MN
Model Name: 2-bedroom - Caoe
,
s,.s s 0017'30° E
~ 167.89
' p
(o
0` ~t7-8-
II 11 ~ / ' / /
r
N p ~tf ~ ~ ~ ~~zp qr ~
o N ~ 957•1 r ~ '
0 m \ ~o . \ ~ry_ 3.9
F \ J S~.t~'Y ~4~, ~ 9 ~ x9ry.V9
\ \ 9 t?o~ q 'o yo 9SS
0N o : 15.18
T S 2S ~~s 9S3'ti \ ~ y 4 / ~ ,
9SS-7,Y x9s>.y ~ h ;
ro 1
~S ~ No ~ ~ ~ / 9S~.ry
3 v
O u~ RQ ~4 S8 ~ 955.7
O p
O ~y -
41
B ~ - - °
BAGARi LRtCvIATEETt11S1G DEP7.
I~
ANO RI~JGA~Y~ SIGN,~rZ.
NOTE: CONTRACTOR MUST vERIFY ALL DIMEN90NS L
. 900.0 Denotes Existing Elevatlon pROPOSED HOUSE ELEVATION
x<~ Denotes Proposed Elevation
Oenotes Orainaqe 8c Utility Easement Lowest Floor Elevation:955.46
Denotes Droinage Flow Direction Top of Block Elevotion:958.66
-w>- Denotes Monument Garage Slab Elevation:958_33
-a- Denotes Offset Hub Bearings shown ore assumed
LOT. 1, BLOCK 2 WESTON HILLS DAKOTA COUNTY. MINNESOiq
I hera6y cirt(W that lhls aufvey, plen or report waf prepered by me or under my direct supeWision ard Ihet I em dU{y ReOistefed Land Survcyof
under IDe lewa ef ths State of Minnesoea. Daled this-24"T* dav ef Su/JG A.D. 1993.
~
SCQIe. ~ ~q~°4Qfee oBERT .SIKICHLS.RE~.~I<B11
312 13173.00
~ LOT BURVEY CHECRLI6T FOR RESIDENTIAL
BUILDINO RMIT APYLICATION
m
~ ~ BROPERTY LECiAL:
` m l~~~
Date of Burveys
2 pOCUMENT BTANDARD6
~ 0 ? • Registered Land Surveyor signature and company
~ p ? • Building Permit Applicant
9~ 0 ? • Legal description
g~ 0 0 • Address
0 ? • North arrow and bar scale
S' • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0/_0 0 • Directional drainage arrows with slope/gradient
0 0' 0 • Proposed/existing sewer and water services
Qf' 0 ? • Street name
U ? ? • Driveway
ELEVATIONB
Existing
? C( p • Sewer service
e'- 0 D • Lot corners
p Er 0 • Top of curb at the driveway
~ 0 ? • Elevations of any existinq adjacent homes
Arooosed
E~ 0 ? • Garage floor
p~ ? p • First floor
p~ p? • Lowest exposed elevation (walkout/window)
H' 0 0 • Property corners
z~ p? • Front and rear of home at the foundation
PONDINa AREAB (if applicable)
? ~1 0 • Easement line
0 U.! 0 • NWL
0 [J ? • HWL
0~ 0 • Pond q designation
? ~ ? • Emerqency Overflow Elevation
pIMENBIONB
~ 0 0 • Lot lines
~ 0 0 • Right-of-way and street width (to back of curb)
? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e., all
/ structures requirinq permanent footings)
? 0? • Show all easements of record and any City utilities within
those easements
a, ? 0 • Setbacks of pro sed structure and setback of adjacent
~ existing ho
0 Lf ? • Retaini w ir nts, if any
Reviewed: ~
ame / Date
October 1992
, •
' E:CTERIOR E*tVELOPE AVERACE "U" COMPUTATION
owNER :-L~.s_ «'<E-
SITE ADDRESS rA4
CONTRACTOR `Q~pmpy~~~y~p DATE PftOYE
T-'
De[ermine wor;cing square foocage of each.
1. Total exposed wall area "UOS sq. ft. s .1~~ ° 2(clo.~'C~
2. Total roof/ceiling area sq. ft. s~02&
Total exposed vall area above floor = G~
a. Total wall window area
b. Total door area S
c. Total sliding glass door area SrU
d. Total fireplace wa21 area v
e. Total wa11 framing area (average 10%) 1~ S
f. Total ne[ wa11 area above floor I~~1
g. Total rim joisc area » 2
Total exposed foundation area = <C C.
h. Total foundation vindov area v
i. Total ne[ foundation area above grade Ss L
Decermine "U" value of each wall segmen[.
a. Y„Ull o uS 4.41Q -
b. yS X "U" 0 7 = 3./57
c. <6 U x "v" . `/S = 3G.0
d. O X'lUll O = O
e. / 75 x "u" 7 = 7
~ f. X~lU„ ~ puL G7.
g. / 72 X "Ul'
' h. C X "U" 4::`
i. 4. ~ X „Ull .O 7c
3 ......................................Tota1 = 1 c~i:~:.J
I_` itzm 9 3 is the same as, or I_ss than iczg #1, you have sec the intanc
oc SBC 6006(c)2.
.
Total e:cposed roof/ceiling area
Tocal gross roof/ceiling area =
C
j. Total skylight area
k. Toca1 roof/ceiling framing area ~
1. Tocal net insulaced roof/ceiling area !2 i'~'
Determine "U" value for each rooE/ceiling segment.
o g ..Ul. O O
k. g"Ull
OZ S 3~. 2
4 Total = 7 1~/
If total oE 04 is the same as, or less than 02, you have met the intent of
SBC 6046(c)1. '
To utilize the tocal envelope systes method, the values established by the
sum oE items 03 and 04 shall not be greater [han the sum of items !11 and li2.
i. + z.
3. ~~10. 20 + 4. 7 u •cl
. . . . • • _ 1' ~ ll 1
' '•NfAT LOSS CALCIii.AT14N9 r
~I
V/ L II ~TI
cntnp~ o -
I Cwde Cenitmctwn No, I
Win "d-ow~ Daor~ Re(crence Out. Wall Int. WiII CeilinQ Roof ~
° ~'c ~ -1 To 19.. Floor noulation
Kind` How Applicd
F1•lMS B m LenQth Width 3 Neight PI,11
Windows and Doon-Crukage ~nd Aru i Room I,.enQih s'Width 2 Flcighl
w,H.ien, Ne er u~.. n. •r:~
L Winclows mhJ DoorrCncltaie and Are¦
Na nr o.~. 01 w.. u~n~. 4a~n N..n Ne. er 11.11
Ne. efyan~ afP~n~ Ilfhb ot<ny 4.41,
Ill. lC
,
stu ~ a c«r. Btu
CJAn 1n611n~' -
F-Xp. wsll
Y Cleu ~ "
Nel exp, wgll E.ap. wall
lnt, wAll Net exp. wsll ~
Cnhnq Inl. ',ptl
Fljor fl~' Ccmng
Toul Btv. p Flaoi ~
Required iq. (t, E.D.R. or sq. ins. W,A. I.eedcr arca Tolel 8tw
Requircd sq, ft. E.D.R. or sq, ins. W.A. l.cadcr ereA
~ Room ~ LenQ~h Width H' (qht
Windows and Door?-CrAcVeiQe .nd Aru c FI,I ~ 1 Room I Len~lh Wi t
uin ~ Q ~
N~ or o~n~ ef pini litti4 oi i:aM' n,ii. W~ndows ind Doon-Crukage and Aru
Ne. etp~n• t Pini Ilrhb etti.tM a~ll. !
Infiltntion CoeL Btu
Glua In6ltnlion c • lu
Exp. wall Glesi
Nei eyp. w,ll Exp, wall 0
Int. wi I ~-p Net e:p. wnll 2
e~bng o o p In,, w,ll
Floa ~ Ceiling y6
Total Btu, Flnor
Requirod eq, It, E.D R. or ~ 7oi.l Biu.
9..... • WA. Le&der am Required &q. fl. R. or eq, ins, W.A. Laaida uu
FI. Fe; i enit Widi H~i~hl i Fl; Room I Lcneih
1I'inEows and oora--CrACka~e and Area Width
Htlphl
wiai
He. 3 . dr e •r Windows And Doorr-CnckeQe and Are.
IIfb1• .r.ew .a i~, ia~n I
~ 1 O Ne. of pH,~ ef pin~ Iltnii ef~iN~4, ~a n.
f ~
a. L
1n61tnlion Cocf. Btu
In6ltruion Coef. Blu
E~ll 6
P. wA Glua ~ a
Nct cxp, wall -~P
Int. wall Nn exp, wall Q.~ 1~ p
Cnling ^4n1-.-vraIl /~,E +i•~'C'
Floor 3 Cciling
To~.l Biu. Floor Z r~
Requiretl sq. IL E.D.R. or U
adtt ~rea R~yoired I q. A. E,D.R. or sq. im. W.A. l.~,der aro. ~Ys
FI. fVirG Room ILenqth J~t Wid1A Height I
Windows and poor~-Crecknge and Arca F1' Room I LenQ~h~ Wid~h ~-S Heiehl ~
Ne eW'°""'n1 N.,.f Li ,aift 4ri, Windows and ponrwCr~ckage snd Area
af p.n~ IIf~U of an<M .o. n. m~e MaIth~ No. e LInu116 An•
Na. of ouq sf oIIYhI, ef eucM 04. i1. ~
Ceef. Btu In61~r~lion ( p 1n611ration Ca<f, Btu
Glau S `-13 /5'
exP. Weil R cieil , L
Nd esp. w.ll ExP. W>u
In1. wall Net exp. wsll
~eiling ^ Int. wall
1'loor s 5 5 Cril~ng
Tot.l Blu. ~ Flom ~
Roquircd iy, ft. E,D.R, or ia, in:- W,A. 4ender area 5 Tol~,l Bw. 5
Required iq. G. E.D.R. or ~p, in~, WA. Luder irc&
---~CITY OF EAGAN PERMIT ck 2G lzn
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 0 a 7
(612) 681-4675 Date Issued: 0 7/ 12 / 9 4
SITE ADDRESS:
4612 WESTON HILLS DR
LOT: 1 BLOCK: 2
WESTON HILLS
P.I.N.: 10-83750-010-02
DESCRIPTION:
Building.Permit Type BASEMENT FINISH
Building Work Type ALTERFlTION
, A
~ ~ .
~
J
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge 8.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
SJOBERG MICHAEL
4612 WESTON HILLS OR
EAGAN MN 55123
(612)653-0574
I hereby acknowledge that I have read this application and state that the
informati is correct and agree to comply with all applica6le State of Mn.
St t es an City o'f Eagan Ordinances.
- J
A P ANT/PEfiM17 E I ATURE ~)m
: SI ATURo
(ISSUED B
- CITY OF EAGAN
~ 1994 BUILDING PERMIT APPLICATION
0 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si S;~F~ueP f energy
calcs.
~
COMMERCIAL 2 sets of architectural & struct ral plans, 1 set o
specifications, 1 copy of energy
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ue' / 7 Valuation of work 'g{',Oaa
Site Address: _416(2 WFSr'DW Nc«s oK. 1~4464,1 S5i23
STREEi SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. I4~ P.I.D. # •
~
Descri tion of work: 135W~• .yjnlSlti
The applicant is: Owner ? Contractor ? Other (Describe)
Name 530 aCZ(r raiCHkR Phone 683 0s7LI
Property LAST FIRST
Owner Address y6~z cve-STO~v
STREET STE #
City State M"V ZiP ~~(L3
Company Phone
Co ntra ctor Address License # Exp.
City State Zip
Architect/ Company S~E Fhone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wit all ap licable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: R~p Ccr7a.
OFFICE USE ONLY . .
~ ° .
BUILDING PERMIT TYPE
.w
. .
w.
? 01 Foundation ? 06 Duplex ? 11 Apt./lodging ,@ 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex 11 13 Garage/Accessory ? 18 Camm./Ind.
0 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. E3 15 Deck ? 20 Public Facility
0 21 Miscellaneous
WORK TYPE
1~3 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition 0 34 Repair 0 36 Move
GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
> Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Cade v35/
Depth On-site sewage SAC Code ~i
Census Bldg ~
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site ? Footing E Framing ,C$ Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permit Fee vaiuac;a+: S
Surcharge
Plan Review
License
MWCC SAC
City SAC .
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
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1993 PLUMBING PERMIT (RESIDIIVTIAL)
CTTY 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 REQUIItED FOR EACH UNTT.
- - - - - -
NO. FIXTURES FACH 'I'OTA?I-
~ SHOWER 3.00 3 ~
-9 WATER CLOSET 3.00 (o~
I BATH TUB 3.00
.1_ LAVATORY 3.00 9.~
~ KITCHEN SINK 3.00
_L LAUNDRY TRAY 3.00 a-~
I HOT TUB/SPA 3.00 3- ov
~ • ~ WATER HEATER 3.00 3• o'r,
FLOOR DRAIN 3.00 3 • 0-0
~ GAS PIPING OUTLET • minimum - t 3.00 3• oz7
ROUGH OPENINGS 1.50 - 5~
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.Cty.li[. 15.00
U.G. SPRINKI.ER • nome under consc. 3.00
ALTERATIONS ' to edsting 15.00
WATER TURN AROUND 15.00
/f 3. S0
STATE SURCHARGE .50
0--0
TOTAL:
SITE ADDRESS:
OWNER NAME: ZjbYY\0.p' 4O IY-'~
INSTALLER: LUm AV& kIvn~ a
ADDRESS:~~~(~M
CITY: 1bUV i..._ ) 2IC, STATE: (YlPl) ZIP CODE: S~
PHONE ( ) 5'~~' `-~351
SIGNATURE OF PERMITTEE
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1993 PLUMBING PERMIT (COMMERCIAI,)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMNERCIALJINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUC170N
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURCHARGE $•50 FOR FACH $1,000 OF PERMPT FEE
MINIbfUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SI'I'E ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
W STALLER:
ADDRESS:
CIT1': STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
OW.USE"ONC.Y
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1993 MECHANICAL PERMTT (RESIDENTIAL)
CITY OF FAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
- - - - - - - - - - - - - -
~C NEW CONSTRUCTION 1) LennoX lYaoQ3~_:--75 -75 m
ADD-ON A/C C~A r nu(e
ADD-ON FURNACE Le 1(1 Yc)X I4Sa3 - 31 %a,~
DATE /G 3 j m'l~
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ 53.00 EACH) Fu(n4cFj F'`~l w-Q /•00
D +e r
ADD-ON/REMODEL (ExIST'ING CoNSTRUCI'ION) $ 15.00
STATE SURCHARGE
TOTAL ~
SITE ADDRESS: y~~ I n~ ~S~~l~'\ ~ ~ I~ •
OWNER NAME: h~~M_X' oCJ( ~~SL/.l TELEPHONE
INSTALLER: VOGT iifATING & AIR CONDII1Qh1N8
ADDRESS:_ ST. LOUIS PARK, MN 55426
" 6i67-6ff}iflv^E 929 -:019
1 ^V ^
CITY: STATE: ZIP CODE:
TELbPHONE
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SIGNATURE OF PERMITTEE
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1993 MECHANICAL PERMIT (COMI1'IERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- -
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PEIZMIT FEE.
T/'JT ALL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL1)
W STALLER:
ADDRESS:
CTI'Y: STATE: ZIP CODE:
TELEPHONE
SIGNATL;RE OF PERMITTEE CITY INSPECTOR
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1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXT[JRES EACH TOTAL
SHOWER 3.00
WA1'ER CLOSET 3.00
BATH 'I"uB 3.00
LAVATORY 3.00
KTTCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FIAOR DRAIN 3.00
GAS PIPING OUTLET • .;.i um - 1 3.00
ROUGH OPENINGS 1.50
WATER 30FTENER 5.00
PRNATE DISP. • oae.ccy. lia 20.00
U.G. SPRINKLER • nome uoaa ~c. 3.00
ALTERATIONS • to ecist;ng 20.00 D_ D. I,o
WATER TURN AROUND 20.00
STATE SURCHARGE ~ ~ oi~~1 .50
~(`~,b~~ ~
TOTAL:
SITE ADDRESS:_ ~ b I~ l11 f. S~j b N P) zi LLS ,o
OWNER NAME:
INSTALLER ~L~ E~(~ G 0-=? ~
ADDRESS:_(,~
CITY: VA STATE: ZIP CODE: J S) a
PHONE ( 6Ia ) q
SIGTATURE OF PERMITTEE
g . , ,
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL CONIIvIERCIAL/INDUSTRIAL BUII.DINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH
DWELI.ING UNTT.
_ NE,'W CONSTRUCf10N
ADD ON
REPAIIt
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE 196 OF CONTRACf FEE.
STATE SURCEIARGE S.SO FOR FACH $1,000 OF FEE.
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENA_N'd' N..4ME: 3'!'E. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: SfATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4612 Weston Hills Dr
Lot: 1 Block: 2 Addition: Weston Hills
PID:10- 83750- 010 -02
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:
Associated Materials
3773 State Road
Cuyahoga Falls OH 44223
(330) 922 -5350
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
John R Zielinski
4612 Weston Hills Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA086544
10/01/2008
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118763
Date Issued:11/07/2013
Permit Category:ePermit
Site Address: 4612 Weston Hills Dr
Lot:001 Block: 002 Addition: Weston Hills
PID:10-83750-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Lisa Nyberg
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 -
John R Zielinski
4612 Weston Hills Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119862
Date Issued:12/27/2013
Permit Category:ePermit
Site Address: 4612 Weston Hills Dr
Lot:001 Block: 002 Addition: Weston Hills
PID:10-83750-02-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
John R Zielinski
4612 Weston Hills Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
� r—————————————————+
� i For Office Use ���
C' � Permit#: / ����� j�,�,��
�4� Ol ����11 I PermitFee: /�• � I�
3830 Pilot Knob Road � S"'ay- 15 �
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I G� I
Fax: (651)675-5694 AUG Z 4 ZO�S I Staff:,.�.� i
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
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Date: �'2�/5 Site Address: y��.� LN�c .�.�,� ��� �Unit#:
'�� ������ 1 / `
��'°� { ��� Name: �/�l�,n �re ����G�� Phone:
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� �(,�y��� �' � Address/City/Zip: ,�a,�1 l �,�r�,.� ��,//t ,�✓
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� _^� �. '. ���?.` Applicant is: Owner '�Contractor /
� s:-
, ��� �� Description of work: �-��r� [c P>C�S�. 9 ���� a o%1 �,���� ��� o���
�`E�� Q►'�a'�t)� � ���
��� �� ' ;, �� Construction Cost: � c� . d�d � Multi-Family Building: (Yes /No�
�� ��
Company: �a�/ ����s� Contact:__�i
y` z �
��� � �a � /
�� �������� Address: ,/�� ,77 �(/�C���� City: �,i s(i/��
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x� �`� � State:�Zip: 5�3�� Phone: mail:
���Q� � '�'��
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� ,y ,; ��".., License#: ��S7G1D iS� 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 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
N��E ��'�1�� ,�ra��tlrt�#Ctrt#r���t �rtr�e�����',�'� �� ` ��, �d#ta� �u �#��1� �1�� �aa�'
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.or9
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 Build' g Code must be c pleted within 180
days of permit issuance.
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Applicant's Printed Name Appl' nt's Signature
Page 1 of 3
��/�, ��-��� �f�, � ��, . DO NOT WRITE BELOW THIS LINE ������
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi �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 � � Occupancy MCES System ,
Plan Review Code Edition ,��,��� SAC Units I
(25%_100%�) Zoning �`�� City Water �
Census Code ' Stories �{" '�� Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
' Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
° Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES ,�
Base Fee .Ir,����'Wr� ;�����'` � ����
nr� � �"� �>, �
Surcharge ,. �� �,� �� � �
Plan Review �,��`�� F'��
� ��.y �
MCES SAC �``°':r' � �h�
�
City SAC � �� ; �,/ ,€ ��
Utility Connection Charge .f �� � � �
S&W Permit 8�Surcharge �
Treatment Plant
Copies
TOTAL
Page 2 of 3
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Certi�icate of Survey for: R L�M AR H OM ES, ��.
House Address: ,46�� Weston Hilis Drive Eaaan. M�!
Model Narne: 2--bedroom — Ca�e_
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� �oo.a Denotes Existing Elevotion . p�tOP05ED HOUSE �VATIUN
�� Denotes Prapased Elevation Lowest Flaat Elevation:955.45
... __. .. penotes Drainage ac Utility Easement T��, of 81ock Eievotirrn:958.65
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DAK07A COU�VTY. MiNNESOIa
1 here6y ctrttlY that tA�s sutvaY,p�en or raport wa�'�p-Jretp�►ed by m�or under my diract�upsivlslon and t�at 1 stn duly Repi�terird Gnd SurvWor
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ROO�RT .SIItIC►a L.S.REd.iVO.J68 3
�31 13173.00
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152121
Date Issued:10/01/2018
Permit Category:ePermit
Site Address: 4612 Weston Hills Dr
Lot:001 Block: 002 Addition: Weston Hills
PID:10-83750-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
John R Zielinski
4612 Weston Hills Dr
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature