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4618 Weston Hills Dr41°6 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6-7-f/ Site Address: 146 l nJ (`/ < /S b(1)-e_ J Unit #: RESIDENT / OWNER Name: Phone: 657- 4.5- /./ - 75-"9 Address / City / Zip: 1/00 0 41 14d4 &'' / Lq'1,•Mly gr/Z 3 Applicant is: Owner Contractor TYPE OF WORK Description of work: 9vYCa/1Q- 4- j4IL1A)4 /t) 1.674H< Construction Cost: yl /r f300. ®v Multi -Family Building: (Yes / No CONTRACTOR Company: -Tcy /lmr c7, % Contact: Ma# 4-1) 7/ Address: !0el k .SA/v1o/C »l'%Q.. City: kev/✓Isa`lQ State: Mn) Zip: 5-5-70 6 Phone: ‘/2. 7--Z5-41 License #: 7.0 I9 2- s"73 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) }1-c9u5 t a -1-4r 19'7g 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: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities.' www.gooherstateonecall.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 /ell LIAnde� Applicant's Printed me x fAppli nt s g a ure Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building DO NOT WRITE BELOW THIS LINE MOS l,*:S117L; US D4 WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 1511%_) Census Code # of Units # of Buildings Type of Construction — Fireplace — Garage _ e�Deck 7 kit/7 — Lower Level Interior Improvement Move Building — Fire Repair Repair 45002-'- 0_0 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final 1/ Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window 9y-oV 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 SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required ,/Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other:! Pool: Footings _Air/Gas Tests _Final Siding: __Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings — Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ROBE ENGINEERING COMPANY, INC. tAer 14411m ITALLT, CONSIMINO INDNNI1111, PLANNINS end LAND SINIVIVOIll DunwiLLL, 1.40431CIOTA 66337 PH 432-3000 CERTIFICATE OF SURVEY Legal Description: L.DT &XI< 2 kVQLJ1R1S BCALE (XI) DENOTES EXISTING ELEVATION (95e.s ) DENOTES PROPOSED ELEVATION —0— INDICATES DIRECTION OF SURFACE DRAINAGE 158.63 FINISHED GARAGE FLOOR ELEVATION 757- /2- ex BASEMENT FLOOR ELEVATION 151,/6 gz. TOP OF FOUNDATION ELEVATION 6v60.74t : 7N.41 e 4475 id 3, 31-ae•k" z• Zrt-ArIANI Eeg z 95447 p , . D ,,.. /,,.../L. FY_ Y‘e..... Z. -e,.... cA.... ' _ / Go 4 i/ go fr7 Ax'ai/r e4W-'1VC, i :itj li\VJI'L(»IU'ol'j L.),..1-1, .sers4c& L /M� / /St 4z '8 t4) 6. I hereby land as iv) y. /ZiE7 95'6 3 7 8, 24 • xir f • 0,0F4bV46E Lir/'7Y OG1 P.R.V. RE XtRING certify that this is n true and correct representation of a tract of shown and described f 19q3 hereon. As prepared: by ma this Pr day of -- Minn, Reg. No. 'MK •' ; INSPECTI4N RECORD t:l'w"Y OF EAGAN PERMIT TYPE: 3$30 Pifot Knob Road Permit Number: t' A ti . Eagan, Minnesota 55123 Date Issued: 0 / 0 (612) 681-4675 SITE ADDRESS: t APPLICANT: i• ~Jt 1[1P# tl l k t . 11k I t I IErJ I iW i3v lMr , 1 td~ 1 14 r51 I~ ( It> I ? 41!-.+-3 0 H fQ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A • I 1 IJf, ;tf~t I I1~. ~ A' t r~ I ifIra i i1 1 i, 1 :;ri . Permk No. PsrmR Floldu 00ta TeIkphone # f S/W I I ` PLUMBING ~ I ( HVAC O ELECTRIC /n ah1 ~ ELECTRtC I Inspwtbn Don Insp. Ccmmw+b I I F°°o"g°' % dx F«,.euion - 7~- 9 3 S v~ c~ FmmkV I'looftv R°"o Pn°. je ~ 11 Rmo HW. 92 s T 9 ~ y1 RmpMw S- z .p 3 FmW ft. , OMM Tom 1~ ~ I Fomd Pwg. Ptg. i?,M-,a - NaWr Pa,mtw I cons,. Mecer I ~ FngrJPlan I I Bldg. Final i/4 T j ~Z I ! I Deck Ftg. I Deck Fir?al I I WeN Pr. Disp. INSPECTION REC4RD ~ _ CITY OF EAGAN PERMIT TYPE: ~ i 3830 Ptlot Knob Road Permit Number. z ARfi I Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ~ SITE ADDRESS: ) 0 APPLICANT: ~~?i. f{i~~~~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• • D. 1 ;.ci, I'I, - - ~ Psrmk No. Pamk Holder Date TNephone M ELECTRIC PLUMBING • HVAC InapecUon Dob Inap. Commmb FOOTINGS FOUND FRAMINCi 7 r r aA, ROOFlNO ROUGH PLUMBING PLBG AIFi TEST ROUGH HEATiNG (3AS SVC TEST INSUL ! 7 GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FIMAL MTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FlNAL FTG C NAL i C~;e~ti~cate v~ ~ccu~anc~g r - This Certificate issued pursuant to the requirerrrents of the Uniform Building Code certifying that at the time of issuance tiiis structum was in compliance with the various ~ ondinances of the City regulating building caristruction ar use. For the fallowing: use clasaficauon: ~DWG EWg. Ptcm& ?10. 21506 OaMPocp 7}rpe Zmmb Distrirt R) Type Coret. VN Owrcr of Building ~1 •~$M ~ Mdie~s P~ ~ ~ Ad~`~' 4618 WESid HIIZS Il~ I.2, B2, {~SDON I~S B qlpo r ~ D.- - DUUUM9~ i POST IN A CONSPICl10US PIACE I . I aI - I, ~ . : T 1 Address 4618 wESmlv HILLS DRIVE Zip 5512 3 L.o! 2 Blk 2 Sub wESTnrr }illS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 024 9 Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) t/ Permanent steps (main entry) ~ Permanent driveway . Permanent gas Sod/Seeded grass i/ TraiUwrb damage . Porch Basemen[ finish Deck ~ Please verify with [he builder the removal of roof tesl caps fmm the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. ContaM engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ While - City Copy Yellow - Resident Copy Pink - Contracror Copy • RESIDENTIAL ~~~,ckck~S BUILDING PERMIT APPLICATION ~t CITY OF EAGAN S/IDY I~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements RemodeUReoair RenuiremenU • 3 registered sile surveys showin9 sq. R of lot, sq. ot house, antl all roofed areas • 2 copies ol plan (20°h maxmum bt wverage allowed) . i set of Eneryy Calculations for heated a0dilions • 2 wDies ol plan shaxing beam 8 window sizes, poured found design, etc.) . 1 srte survey for exterior addi6ons & decks • 1 set of Eneryy Calculations . Indicate A home served by septic system for addidons • 3 copies of Tree Preservation Plan A lot platted after 711193 . Rim Joist Detad Options selecUOn sheet (Wdgs wM 3 or less unRC) ~f,/ + lTiy DATE (l - D~0~\ VALUATION Y I o1 000 . SITEADDRESS q61Iq W5k~ 4'~~S JQMULTI-FAMILYBLDG _Y ~N TYPEOF WORK ~Iq~d4 FIREPLACE(S) X. 0 _ 1_ 2 J APPLICANT A/"Pr~~Fa Q~~I dl~y (o,~}r~,~{~rf STREETADDRESS I_ddy) NI~DI~~ i/`re S, CITY&ld5V; 114 STATEm/JZIPS33 TELEPHONE #~Sa-~~~-69Sa CELL PHONE # FAX #Ad ' S7d -off y,~ PROPERTYOWNER lL"OAj W~~~rS TELEPHONE#6SI~lSU"7~`I~ ~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ yIIVNG501'A RUI.LS 7670 C:CfLGORY I MINNLSOTA RULGS 7672 (J submission type) . Residential Ventilation Category t Worksheel Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submittetl Plumbing Coniractor: Phonc # Pluinbing syslcm includcs: _ Watcr Soflcncr ~ L2«n Sprinkler i`, Fce: 1$90.00 = Watcr Healer No. of R.I. BaUis'~ No. of Ba(hs Mechanical Contractor: Phone # . Mcch.mical systcnt includes: Air Condiuoning ---Pce: $70.00 Hcat Rccovcry Systcm Sewer/Water Contractor: Phone # I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. C Signature of Appllcant tw OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Uptlated 4102 OFFICE USE ONLY • ? Ot 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demolition (EnNre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ' 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construdlon Reuuirements RemodellRaoair Recuiremen(s . 1 registered site surveys showing sq. ft. of lot, sq. ft. of house, and all rooled areas • 2 wpies of plan (20% mazimum lot coveraqe allowed) . i set ol Energy Calwla6on5 for heated addrtions • 2 copies of plan showirg beam 8 window sizes, poured found design, etc.) • 1 site survey for extenor addi6ans 8 decks . 1 setot Enert}y Calculatwns • Indicate if home served by sep6c system for additions • 3 copies of Tree Preservahon Plan if lot platted after 1/1193 . Rim Joist Detail Oplions selec6on 5heet (bldgs wdh 3 or Iess units) J - ~ DATE 0d` VALUATION SITE ADDRESS `16I9 ~~IiO^J MULTI-FAMILY BLDG _Y XN TYPE Of WORK 4'W Inhi,)WdJs FIREPLACE(5) x0 _ 1_ 2 APPLICANT STREET ADDRESS ~aay) N~ «f ~¢VC S. CITY STATEAv? ZIP SS33~ TELEPHONE # qS~-)a7- 6? CELL PHONE # FAX #10' 90LeYyb PROPERTYOWNER Li-v~V W,t1-6J ~Pry TELEPHONE# 6Sl-ysy-~5~9~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLS(fTA RliLCS 7670 C:ITLGORY 1 bIINNESO'1':\ 12ULES 7672 (d submission type) • Residenhal Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phonc # Plumbing systcm includcs: _ Watcr So[tener Lawn Sprinkler Fec: $90.00 Water Heater No. of R.I. Baths No. oF Baths Mechanical Contractor: Phone # IV[ccl»mic.il systcnt includcs: Air Condiuoning P'cc: $70.00 Hcat Rccovci}' System ian,) ~ d Sewer/Water Contractor: Phone # ~ I hereby acknowledge that I have read this application, siate that the information is c I ect_and agree-to eomply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Sfgnature of Applicanf - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 OFFICE USE ONLY _ ? Ot 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.) 0 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 ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement `Demolitlon (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. af Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings(new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee ` Surcharge Plan Review MC/ES SAC Cdy SAC It W ater Supp~y & rStoraje S&W Permi~& Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT " ' 16 7 ~ ~ ~ .~CITY OF EAGAN / , 3830 Pilot Knob Road pERMITTYPE: eurLozNc Eagan, Minnesota 55123 Permit Numher: 02150B (612) 681-4675 Date Issued: 0 7/ 2 0/ 9 3 SITE ADDRESS: 4618 WESTON HILIS DR LOT: 2 BLOCK: 2 WESTON HILI.S P.I.N.: 10-83750-020-02 DESCRIPTION: Building_Permit Type 3F DWG Building Wo.rk Type NEW -UBC Occupancy", R-3 M-1 /Construction Type VN Zoning ~ R-1 ~ Building Length 54 Building Width 36 ~ V' REMARKS: S&W CONTRACTQR - OLBERG CON3T PRV FEE SUMMARY: VALUATION $148,000 Base Fee $807.50 MISC FEES $1,744.50 Plan Review $524.88 Total Fee $3,900.88 Surcharge $74.00 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $2,156.38 s CONTRACTOR: - Applicant - sT. LIC. OWNER: JOHNSON HOME3 INC, DONALD 14560034 0001603 JOHNSON HOMES DON 4639 PARK RIDGE DR 4639 PARK RZDGE DR EAGAN MN 55123 EAGAN MN 55123 (612) 456-0034 (612)456-0034 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 ofi Eagan Ordinances. - J APPLIC T/P RMITEESIGNATURE REACTIVATE _ H•~~ENED CITY OF EAGAN PERMIl'# ~ 1993 BUILDING PERMIT APPLICATION J U L 48 1993 681-4675 15 a~~ 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 specificatians, 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 Yaluation of work llU.oDo ite Address: 41ol9 W,~_j fo'Yi STREET SUITE k Tenant Name: (commercial only) IAT _4 BIACK q SUBD. (,(JeA P. I. D. * Descri tion of work:--~ The applicant is: ? Owner Cantractor ? Other (Destribe) Name _ Phoae_.r__, Property LAST FIRST Owner 'qddress STREET Sff • City State Zip Company ~ Phone COtttl'aCtOf Address ik License # 1669 Exp. City Stat~ Zip S`W ~ Architect/ Company Phone Engineer Name Registration #1 Address City State Zip i Sewer & water licensed plumber / w_d Processing time for sewer & water permits is two days once area h s been ap oved. I hereby acknowledge that I h ve read this a plication and state that the information is correct and agree to comply wi all appti'ca 1 State of Minnesota Statutes and City of Eagan Ordinances. 3ignature of Applicant: ~ / / ~ 7 OFFICE U5E ONLY BUILDING PERMIT IYPE I " • ` I r ~ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish V~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. 0 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE Eg 31 New El 33 Alterations 0 35 Tenant Finish 037 Demolish ? 32 Addition El 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V- ~1 Basement sq. ft. MWCC 5ystem Yt3 (Allowable) 77--jU lst F1. sq. ft. City Water 7e5 UBC Occupancy -3 rn-1 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire 5prinkler Length ,S y~ On-site well Census Code oi Depth _T6_7__ On-site sewage SAC Code ~i APPROVALS ~ Planning Building Assessments Engineering Yariance REGIUIRED INSPECTIONS ? Site ? Footing 0 Framing 11 Insulation ? Wallboard El Final ? Draintile ? Fireplace Permit Fee vaimc;o,: S ~`f xUJO Surcharge GqRAC,E; ~ Plan Review ZZ X22-= 6y License I 2= 0y) MWCC SAC City SAC SSMT; 46 6 x16= R4S(o Water Conn. Water Meter Iy), I'+%L = 2-o3 ZND Acct. Deposit 33YZxa6= Y"11 ~ S/W Permit S/W Surcharge Jo qX15= JId/v a J K Sy Treatment P1. 1s; FwJ Road Unit Park Ded. 6Smi = 107Lj Trails Ded. Zxg: Copies 't~ ~(aCl 6 Other 7K/'/2' 10- Total : 7 X l'/Z sAC % r00 f Il ~ x 5Lf: 59,9Lfll SAC Units f _ _ r.~ir rn~oc uuui¢rc~N 1-ltllf F'.4J1 DouAtD Jouusav FoMe$ p coMSU~~ir~o ~not~NO°ilum~vons #Sezi.ol w '10~E PIfIN I 3 end PNGINEE(itN(i 8K. !95 COM(~f~NV INC. P6.38 ~ ~ 1000 EA87 1461h /Ifl[[T. EVPNlYII~[. MINN[lOTA !EDlT PN 432-3000 ~ CERTIFICATE OF SURVEY Legal Description: Lor z-!-,ecocK z~~o Nrus. DAKO~H nun~ Ai11 tiI ti~ESOTA DCNOTES EXI8TIN0 ELEVATION (9519.5 ) DENOTES PROPOSED ELEVATION INDICATBS pIRECTION OF SURFACE DRAINAGE fINISHEU QARAOE FLOOR ELEVA710N 951, IZ = BASEMENI' FLOOR ELEVATION 959, /6 = TOP OF FOUNDATION ELEVATION ~ ecnLe 1 r. ao BENCN.UTA~PK : 71VN Q CaTS Z{ 3, B~CX z. E2EY. = 956. L7 3o F7 FROni7' 9urGOini6 30 0 .9E'TdACK L /NE y e /o ~y ~1 ~ ~ ~ T yN 0~ ` /32 4r jR., V Ik ZG,co y~~ ~94£3.5~ 3 1 op ,yawm^°•oo.-~~ a2 ~ -W ~ /0 ~ ~58•Sj ` .ZS6~~'ts.~j O ~~{,l~ v:..r n ~ I 35 h ~ ~c+v.e,,,, 955, ht,g ,47 3 - 956.37 Av8i•26ki DZPT L_! OR/J/Nq6E AND UT/Gi7Y F4S6v~EN7- poMoMo El Q'~ r° - ~ti .J , u u t, .J' I IiexeUy oertify that tliie ia e true and oorreot representation oP a tract oE land es ehown and daeoribed liaxaon. Aa praparad by ma thia 5L day oP Ju/~Y ~ 19,Q3_. t11nn. Aeg, t1o. 606 ~ LOT BURVEY CBECRLI6T FOR RESIDE}'::.AL ~ BUILDING YERMIT APPLICAT ON ^c~ w T• -J •Y FROPERTY LEGAL: w . ~ ~ Date of Burvey: DOCUMENT BTANDARDB Q~ 0? - Registered Land Surveyor signature and company 0 • Suilding Permit Applicant 0~'0 0 • Legal description 0 0r ? • Address 0-~?0 • North arrow and bar scale D~Lt ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) [2~? ? • Directional drainage arrows with slope/gradient D 0- ? • Proposed/existing sewer and water services B'~ n ? - Street name Q'0 0 Driveway ELEVATION6 Existina 0 0'~ ? • Sewer service Cd~ ? ? • Lot cornezs p 0~ 11 • Top of curb at the driveway ? Q0~0 • Elevations of any existing adjacent homes Frooosea Id 0 0 • Garage floor 010, ? 0 • First floor 0r 0 D • Lowest exposed elevation (walkout/window) D, 0 11 • Property corners 0-1 ? 0 • Front and rear of home at the foundation pONDINCi AREAB (if aoDlicable) ? 0- 0 • Easement line 0 0' 0 • NWL 0 D' 0 • xwL ? (a',C] • Pond # designation ? g' 0 • Emergency Overflow Elevation DIMENBIONS ? • Lot lines ty0 D : Right-of-way and street width (to back of curb) (Y I7 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e., all structures requiiing permanent footings) .0r 0? • Show all easements of record end any City utilities within those.easements Q~ p? • Setbacks of proposed structure and setback of adjacent existing homes 0 0/,.iy • Retaining w qu' ments, if any Reviewed: N me / ate October 1992 ~ • , , 'Donald L. Johnson Homes, Inc. . Energy Code Worksheet Weston Hills oaaes4Address ~Lot 2 Block 2 Westor~ Contractor - Dona ohnson Homes, Inc. Lic #1603 4639 Park Ridge Drive Eagan, Minnesota 55123, Phone 456-0034 Building Classification: Type A(Single Family & Duplex) General Information: 1. Building Perimeter - See Worksheet 2. Wall Height - See Worksheet 3. Gross Wall Area 2328.16 4. Square Foot Roof Area 1205.00 5. Square Foot of Rim Joist 124.00 6. Doors - Area 3420 U Factor 14 &.47 7. Total Door's Perimeter 8. Windows - See Worksheet Crestline Insulated Casements 9. Total Square Foot Glass 197.93 10. Fireplace Area -0- Clearance 11. Exposed Foundation .67* 161 83.08 12. Framing Area = 10% Of Gross Wall Area U Factor 13. Gross Wall Area 2328.16 Window Area 197.93 0.36 71.25 Rim Joist Area 124.00 0.04 5.08 Door Area 34.20 0.14 4.79 Other poor Area 0.00 0.47 0.00 Exposed Foundation 83.08 0.14 11.63 Framing Area 232.82 0.10 22.12 Net Wall Area 1656.13 0.04 71.21 PRoPot, CO~ --.os 14. Gross Wall Area 2328.16 0.11 256.10 Q--~' ALLOw4" 15. Gross Ceiling Area 1205.00 Joist Area 120.50 Net Ceiling Area 1084.50 U Ceiling 1084.50 0.02 26.03 U Framing 120.50 0.02 2.77 L~.'u pRoP$-M 16. Ceiling Area 1205.00 0.03' .84=89~ , o 25 08-Ju1-93 Page 1 r • . ,-Donald L. Johnson Homes, Inc. Energy Code Worksheet Weston Hills Parade of Homes 1993 Address - Lot 2, Block 2, Weston Hills 1st Contractor - Donald L. Johnson Homes, Inc. Lic #1603 4639 Park Ridge Drive Eagan, Minnesota 55123, Phone 456-0034 Worksheet 26+48*8.33 633.08 26 + 48 + 14 + 32 * 13. 67 1695.08 2328.16 Roof 1205.00 Windows 2636 6*5.01 30.06 6 2040 2*2.18 4.36 2 2640 7*8.36 70.00 7 3040 1 *11.65 11.65 1 205012*3.37 40.44 12 1636 2*1.83 3.66 2 2036 2*2.18 4.36 2 2650 4*8.35 33.40 4 197.93 Doors atrium 34.20 1 6'0 Patio 0.00 3420 I hereby certify that I have completed the above information and that it complies with the Minnesota State Energy Code. ~ Jeanne . Joh o Date 08-Ju1-93 Page 1 PERMIT CITY OF EAGAN 3830P1otKnobRoad PERMITTYPE: aurLoiNG Eagan, Minne50ta 55122-1897 Permit Number: 030881 (612) 681-4675 Date Issued: 10 / 0 2/ 9 7 SITE ADDRESS: 4618 WESTON HILLS DR LOT: 2 BLOCK: 2 WESTON HILLS P.I.N.: 10-83750-020-02 DESCRIPTION: (3-SEASON) Building Permit Type SF PORCH Building Work Type NEW Census Code 434 AIT. RESIDENTIAL , ~ V_:; REMARKS: A SEPARATE PERMIT IS REQUIRED FOR HNY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $9,000 Base Fee $149.75 Surcharge $4.50 Lic. Search Fee $5.00 Total Fee $159.25 CONTRACTOR: - qpplicant - ST. LIc OWNER: LAWRENCE CONST CO 14557588 2004425 WITTENBURG TIMOTHY 9450 ARNOLD AVE 4618 WESTON HILLS OR INVER GROVE HTS MN 55077 EAGFlN MN (612) 455-7588 (612)454-7597 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State oP Mn. ~ Statutes and City of Eagan Ordinances. ~ ~,{r[~[lG2 ` i' ~ APPLICANT/PER IT E SIGNATURE ISSU D BV. IGNATURE 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 36"1 CITY OF EAGAN ~~J , 3830 PILOT KfVOB RD - 55122 681 -4675 New ConsWCtion Reauirements RemodeVReoair Reouirements ? 3 registered sRe surveys ? 2 copies of plan ? 2 copies of Dfans (inUude beam 8 window sizes, poured fiC. Oesign; etc.) ? 2 sile surveys (exterior additions 8 tlecks) • 1 energy wlculahons ? 1 energy calculations for heateE atlditions ? 3 copies of tree preservation plan if lot platted after 7/1193 requireA: _ Yes _ No DATE: `7/ CONSTRUCTION COST: ~Z0 /900 DESCRIPTION OF WORK: (y~~ -:3. I' D-c-G-F', STREET ADDRESS: I"6 0-4 ~ LOT ~ BLOCK SUBD./P.I.D. 10- - o - o z fapi ,°RV PROPERTY Name: Cll177Ffi 81)RC- TiMOTNK Phone'-1S</-759`7 OWNER Street Address: 6olg 2JES720N 14I LLS 1,) Q1 U= City: F_ f+-G-FFrV State: A4 IV Zip: coN7RaC7oR Company: A, A [cJ (ZrN-'E l:0/YST2 ~ Phone Street Address: C?q5-0 H QNUL [)A (GE License 7 00 `lq,;zS! City: TN VE262D UE /-l r7-~, State: Iif N Zip: SS0?7 ARCHITECT! Company: _LUJQCNCC 2-oLS7-12, Phone#: S'Avt4E ENGINEER Name:_ SA .iLiF Registration Street Address: City: State: Zip: Sewer 8 water licer.~ted plumber (new construction only): Penalty applies when address change and lot change are iequested once permit is issued. i hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable SWte of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: DHE c G0 w C OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes _ No _ Not Requi d OFFICE USE ONLY ~ 7~? % ~ f- .It • BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ~ 04 SF Porch n 09 12-piex ? 14 Firepiace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE A 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Tj-J12E~E7 S5r(-Soakj 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 Census Bldg Census Unit APPROVALS Planning Building : 1 Engineering Variance Permit Fee Valuation: $ I' Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Z~ x qp q(p 0, DO Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Totai: % SAC SAC Units 7 " '';lFs'„i'jd,,"~y'' .i`N? 'YS~ ~ ~ • RO(3E con:IAriHO eno Nuns 00"'^`D ou"'s"`J oMEs rinnNIns end lnNn lumfvons 582I.o! ENGINEERING 8K. !95 " COMPBNY INC. P6.38 ~ ~ 1000 [ABi N61h lIRFQT, lV11NlVlll(. qINNUpTA 66337 pH 4l2-b000 ' ~ CERTIFICATE OF SURVEY Legal Description: zor z~aLocK 2, ~~Zo~ Hrus DAKOTA D ~7V ~AiA/n/FGOTA (3~~) DCNOTES EXISTING ELEVATION (958.5 ) DENO7E5 PFiOPOSED ELEVATION -r--- INDICATES dIRECTION OF SURFACE DRAINAQE FINISHED QARApE FLOOR ELEVATION 751• !2 ° BASEMENT FLOOR ELEVATION 'f59. /6 ° TOP OF FOUNDATION ELEVATION ecaLe : r. au• ~'NCN.17ARK : 7NH 6 LaTS 2~ 3, B~rX 2. EGEY, = 956, L7 3o FT GRONT gU/GOiy6 ~~A' 30 o SET6ACK L /NE g;s,, h~/~ ~~b Q~ f~ v /O O° n / \ ,5¢ /sr~Lf i llj~ ns N ; ~ ~ ~ ~ ~ ~ zc,~ •'~~'i:i~~ ~ q; y~ F~ N I Csa.s r~ o ¢e~ , U~,~~ N I 35 I V 3 y ~ • n 41M n~'ep ~ 1 ~ ~ ~ ~ A ,ap qy~ v lo ~ 86 ~ZZ~ 8~~j67 SS~o' L \ 1 ~ L, 47 ~ m'~'sssZ 35 ~n ~55,~ fN8 63 ~ .31~lypI ai'z6 ~¢-kr ~?"as;o; ~KIMC? ~i~Pli r~ (yqa,e~ i ~i OR4/NA6E A.VD UT/LiTY EAS~E/176NT Pi RmVo tl fl vE OaS `"~.n'J '.,?I liereby certlfy tlint tliie ie n tYUe and correot repreeentntion of a traet of land os eliown and deaoribed tiaYeon, ne praparad by ma this ZST day oP ~/s,rv , i9s~, • ~ 111»n. Reg. No. EOB C3'TY°USE:ONL.Y . ' ...j _ ' . 'v:~•.~.. . ` ' LC'^` 1 , ~f^;'.' . b . . _ . . . . ~ . ~~..i , . . . . . ' . 1~~. . . ~ . . . . . . . - . . . . ` . ~ . . . , . . . . • . r . . . . . ~ ~ ~ _ 1.~' , . . 1993 PLUMBING PERMTf (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55112 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIlZED FOR EACH UNIT. - - - - - - - - - NO. F'IXTURES Fr1CH TOTAL / SHOWER 3.00 ~ WATER CLOSET 3.00 Z- BATH TUB 3.00 LAVATORY 3•00 1L•°~' KITCHEN SINK 3.00 ~ 3'-¢ _L LAUNDRY TRAY 3.00 HOT NB/SPA 3•00 _L WATER HEATER 3.00 ~ FLOOR DRAIN 3.00 3.v ~ GAS PIPING OUTLET • m+nimum -1 3.00 ~ ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • neLcry. uc. 15.00 U.G. SPRINKLER • nome under eonsi 3.00 ALTERATIONS ' to oosting 15.00 WATER TURN AROUND 15.00 ~ STATE SURCHARGE .50 TOTAL: ,5~D, DE) SITE ADDRESS: OWNER NA1vIE: INSTALLER: ADDRESS: ._S , CITY: STATE: w~ ZIP CODE: PHONE SIG0L`~ TURE OF PERMITTEE . . f ' . . ,..<<.,.r..........'.... ;'::T.'.::~ . . . .r.. > . . . . . : . . » °:.::..:._L-._._,:_.. :;r . M<~IK•~yrp!%yyyy~.3i%j'1.:..°'::;,.`,...,......,~~;t::::j._.... . .~4''"x"^' 3lGiiLli'f'tl s . . . ~ ~ , _ . . _ . . . . . N . : . . . . . :~i . . . _ . : ' : .:.s,y.. . . . . . . : . . . . . .:i ...:',;i' . . .....::.::y:r:i<.:.:.,....;c:::>~:........,,.:....`z:.a;: : . r..' ~ ..::..:...1::.:..;.. . , • ,:se:•i^....;.,:r:.': 'ri:>:':.:..< ii[JBD. . . . : .,..x:,:.....,.. ; : ..•;c ;~;xDA'I'E':s~:.:::A<:'>° ' ; . . _ . . . . ~._..,..:..a....., .:r.n.,,..,,,.........,..~._._~... .t...,.,...:~,,.~.:~,,;,_u..,.>_.:..c.«,:.:::...>..~ ..................:...M~...,_ 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMIvIERCIALJINDUSTRIAL BUILDINGS. AISO FOR MULTI- FAMILY BUI: DINGS WHEN SEPARATE PERMTT'S ARE NOT REQUIltED FOR EACH DWELLIIv`G U:..T. NEW COhSTRUCTION ADD OPi REPAIR WORK DESCRIPTION: CONTRACI' PRICE: $ FEE: 1% OF CON7"RACf FEE. STATE SURCHARGE 5.50 FOR FACH $1,000 OF P£RMTf FEE MINIAftiM FEE: S 25.00 CONTRACf PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENAIVT NA11iE: STE # OWNER NAAZE: INSTALLER: ADDRESS: CITY: STA1'E: ZIP CODE: PHOKE FOR: CITY OF EAGAIV APPLICANT - . ' . . . . . . . MWUSEON~;'S.'... . . . . , , BL4.:.: . . ~:...,uL:. , . , . ~ . . ; • : :;:::~:~s;., , 'r::,:;~ ,~i•. . . D!AT~„ . • - ` :"s' 1993 MECHANICAL PERMTf (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 UNTI'. X NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DA7'E FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU -&AB- GAS OLJTLETS (MINIMUM 1 @ $3.00 EACH) ?.oa ADD-ON/REMODEL (EXISTING CoNSTxUCI'ION) $ STATE SURCHARGE .50 TOTAL a. . S ~ SITE ADDRESS: OWNER NAME• IMyL TELEPHONE INSTALLER C~J l.~ ~wnpv ADDRESS: l CITY. ~ STATE: P ZIP CODE: TELEPHONE 15-U 40, I 040~L SIG URE OF PERMITTEE fTIY IISE't7NLY , . - . Y .....Y . _ ;z;;. . . . .;.:et:z:.~::. <crs„i"?;''^:`z:€~.;i.: . :....:.......aC:~, l`.iri . _ . . ...........:.:r., r...,...., ......:.<.....i.,..~.,.;:xr.< . . ...:..r:...~. ~..,y.~..,.,..........,.. . . . t..: ,.~...6: . . . . . ~ .......w.. . ..r . . . . . . . . . _ _ f..s i:s$ljC~' - . :...-r~.,........ .:~.a~ ~..:.r.:..~..:.: :..:;:i:._...n».~~. :!.3d.~cy'"i =::3<:. a . . ":'~i.:::.3w~ . . . .....:i '%'E•o, .r.: .:....~:...,s...,.- . . . . : ~7~ . : . . r . . . . : . ..t. . , .....x... a.....~....,... . . r.. . r w:<'snt.`x t:'. ..n: ....;.,.p.:: . . ......5:.3.:.........., ':.9J•.:. : .^.,Y'i :DSi. D. . . . ~ . : _.k A~'::;~:,~ ~::>s:'; ~awv..... ....~n..:5:wi:.:Sn'FJn.Ga.:.Yr.:::f.. ....i:3...r..: .Y.Fa....i....." '..i.....o.`µ. . . . . ..w. . ..<:a.~.u.. . ..:::kii~:': 1993 MECHANICAL PERMTT (COMII4IERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681A675 PLEASE COMPLETE FOR ALL COMNIERCIAL/INDUSTRIAL 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 ~'ERMiT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMEN7'S ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR ~ ` 9D q 2006 RESIDENTIAL BUILDING rExMiT arrLic.aTioN 7 V77 ~ - City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction Reauirements RemodeVReoair Reauirements 0(fice Use OnN 3 regisrered site survays sharring sq. k. ot lot, sq. ft. oi house; and all roofed ereas 2 copies of plan showing footings, beams, Joisfs Ced o(Survey RecA'_~; m~ Y; _ N (20%maximum bt wverage allaxed) 7 set of Energy Calculations for heated additions Soils Report' -"i_,:-s,~~"•`Y== ;N t Soils ReportA proposed bwlding is lo be placed on disWrbed soil 1 sile survey for add'Nons 8 decks Tree Pres Plan Recd• YN. 2 copies of plan showing beam & window sizes; poured (ound design, ek. Add'~ion • indkate Aon•sde septic sysfem Tree Pres Required Y= N 1 setolEnergyCalcuWtions On-slteSepti cSy3tem~-'xY,°_N 3 copies o( Tree Preservation Plan if bt plaried after 711193 Rim Joat De6fl OpUons selectian sheet (buildings with 3 ar less units) Minnegasco mechanial ven6lation lorm Date 7//1`/-O-Z Construction Cast CV ~7 7. Y~ )P 5 T o/f /f ~/S D/'. ?P UniUSte # Site Address ~ Description of Work -V T Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 ~ Property Owner s~ , W Telephone #(~S/ )q5!~- 17S !2 7 Contractor p~tE`QGL(NG? S~1~,rZn Address `i( 4f7 /J~eMDrl'u-/ /L~/~/.-. City :572'11&1a lC/, i State 19)Zip t53r3'Z Telephone #((,+57) 'i/3~l• y3 ~-O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv I Minnesota Rules 7672 Energy Code Category , Residentlal Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted ' . Enargy Envelope Calculations Submitted In the last 12 months, has ihe City of Eagon issued a permit for a similar plan based on a master plon? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/WaterContractor Telephone#( J I hereby apply for a Residential Building Permit and aclrnowledge 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. ' '~1G-{^'~ • /7/r ?P.YI 5 ~ Applicant'i Name Applicant's i ature Use BLUE or BLACK Ink For Office Use I ``ff I City of EapI Permit#: 1 ; o a 5 1 Permit Fee: - I 3830 Pilot Knob Road 1 I ~j~1 Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:,q- `'t t 5 Site Address: 4619 1.U~!5,70J\1 ( LLs _(DkJV& -Unit Name: T(M 1/~l I T`i-N:B URA Phone: CQ_t5 I- ~4 7-5:1 7 Resident/ Owner Address/ City/ Zip: Aed 49 W STON +11 LLS DRIVE, C--,&AN. 5T J 2A Applicant is: Owner Contractor Type of Work Description of work: il~((N Y l G ~N`r' e Construction Cost: Multi-Family Building: (Yes / No ~ I Company: W 1 RV OYq OU I SIT(-~ ~ Contact: 'b-103 DAY 1- Contractor Address: trR J K V1 E W -A VE City: SIWA LL7,7 t '7~C3° (oS State: I' I •N Zip: 5 -378 a~ Phone: 952 6 (0 License B (2--4A 10 5 Lead Certificate N A-T - 3 M) S l If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) l3U ~ 1sll~s 130"_1T -Apl~ H'719 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: a NOTE: Mans 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:aooherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xV i b ~STa~~ x Applicant's Printed Name i is Signa re Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA130024 Date Issued:03/31/2015 Permit Category:ePermit Site Address: 4618 Weston Hills Dr Lot:002 Block: 002 Addition: Weston Hills PID:10-83750-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Timothy Wittenburg 4618 Weston Hills Dr Eagan MN 55123 (651) 454-7597 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143279 Date Issued:06/09/2017 Permit Category:ePermit Site Address: 4618 Weston Hills Dr Lot:002 Block: 002 Addition: Weston Hills PID:10-83750-02-020 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 - Timothy Wittenburg 4618 Weston Hills Dr Eagan MN 55123 Trinity Exteriors Inc 4204 Park Glen Rd Minneapolis MN 55416 (952) 920-9520 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144433 Date Issued:07/26/2017 Permit Category:ePermit Site Address: 4618 Weston Hills Dr Lot:002 Block: 002 Addition: Weston Hills PID:10-83750-02-020 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 - Timothy Wittenburg 4618 Weston Hills Dr Eagan MN 55123 (612) 315-9861 Trinity Exteriors Inc 4204 Park Glen Rd Minneapolis MN 55416 (952) 920-9520 Applicant/Permitee: Signature Issued By: Signature