4623 Weston Hills Dr
INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: `y ~
Eagan, Minnesota 55123 Date Issued: t
(612) 681-4675
SITE ADDRESS: APPLICANT:
~
~ . i i~ i~~r~! f 1 f•~ I~tt ~ ~ ~ ~,;tliE
I I nf ii ! i I•. }tv:~
PERMIT SUBTYPE: TYPE OF WORK:
, ~,r i~
INSPECTION .A .
1; nM 1 (0,
1 I i l I' I N~ F
, i~t;,l'} ,'.t.; , til-i 1 ~ t ~i;• . pl; ~ I ; . . .
~
. Permtt No. Permk Holder Date Telephone #
. S/W
PLUMBING OWri3 FQO'faZ
HVAC y ~
ELECTRIC 7'Q 3 D
ELECTRIC
Inspsctlon Dote hnsp. comments
~
Footww i / . I
~
FourbdaUOn 7 v
Framing ~ y 3 ~
2
Roormg ,,C
R°"gh P"g. Z3Z, -za-y 6P11 ~
R°ugh "`9' -2'ax3
isul.
Rreplace 6-31 Q C
c.z
Final Htg. A/7/ /A~ 3 ,
~
,wo ~ a, '
OtWTest ~ _ •
Fnel Pbg. PIb9. Inspector - NdNY Plumber
J'7
Const. Meter
EngrJPlan
Bldg. Rnal
Deck Ftg.
Deck Final
weli
Pr. Disp. ` ~ 7f
- - - - - - ~
Il \IJPECr1 iOl \ ~~~~RI)
; CITY OF EAGAN PERMIT TYPE:
,
3830 Pilot Knob Road Permit Number: ;4 1, ~
Eagan, Minnesota 55123 Date Issued: tN.' :
(612) 681-4675
? VTE ADDRESS: 101 APPUCANT:
i , •i
PERMIT SUBTYPE: TYPE OF WORK:
t:0
INSPECTION • D•
+ i ~•~1~~'. ~ ~r
- - - - --J
Permit No. Permit Holder Date TNepfwne #
e
PLUMBING
HVAC•
ELECTRIC
I ELECTRIC
Mfpwtlon Dift Inap. Comnwnb
Foofir?ps I
Fotxldation
Framing
Roofiri9
Rough Pbg•
Rough Htg.
IsW.
FirePiac'.e
Final HGg.
Orsat Test
Flnal Plbg. Ptbg. inspecla - Notily Plumber
Const. Meter
ErygrJPlen
Btdg. Final
Deck Ftg. N P k~ CU e r.e_ ns~o . ~
Deck Fr?sl
- I
W9U r rY ! /AI I
I
N. Disp.
I
~
e' 3~,
.
~I- . .
~ -
%ertificate of cccupanc4
CM1 ofi "an
oomumt N sru~ UN"M"
7'ltia Cert(/tratx fxBMed purawunt to the neqwlrYmenrs vJ rhe UWor?n gutldtng Cddr
rrft*ing Nrat nt the ttmt oj fsiuoncr tlNs atnectare wa.t !n canrpllance wlth the vartorit
dtdGlpAwCx uf tAt Clty ngulrttlng bwfldina conrtraclion or use. For the fotlowing:
1lbe C11MUMMon: SF IIC swg. p,,,.u No. 21901
omwmo iyp* B3/M1 raaiq twrm R I Type co„st. VN
orew nt Uwwldwe IMIM fII~.'S Ad&. 14450 WMSVIIl.E P[W, B' VIIlE
wna~Aak.M jV DELIVE L20, B1, WESDON HIIIS ; - ~ -
wift dnaw ! POST iN A CONSPICUOl15 PLACE
Address 4623 WESroN tuLLs D?uvE Zip 5512 3
L.ot 2o Blk t Sub wESmrr errT s
THGSE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE F[NAL INSPECI'ION.
Date: / . 2/ ~ Yes No Inspecror.
Final grade (6" from siding)
Permanent steps (garage) t1Z
Pennanent steps (main entry) L/
Permanentdriveway
Permanent gas v
Sod/Seeded grass ~
TraiUwrb damage
Porch
Basement finish
Deck
Plcase verify with the builder the removal of roof test caps from Ihe plumbing system and Ihe shutoff of water supply to
the outside lawn faucet before freeze potential exis[s.
Contact engineering division at 681-4645 before working in right-of•way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
~ BUILDING PERMIT APPLICATION
5,/~~/
~ CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 i
NewConetrudionReauiremeiHS RemodeVReoairReauiremenls
• 3 registered sde surveys shmving sq. R. of lot, sq. fl. of house; and all roofed areas • 2 copies of Dlan
(20%maximum lot coverage allowed) . 1 set of Energy Calwlations for heated addiM1Ons
• 2 copies of plan showing beam & windax sizes; poured found design, etc.) • 1 site survey for exterior additions 8 decks
• 1 sel of Energy Calculations . Indicate if home served 6y sep6c system for additions
• 3 copies of Tree Presenation Plan if bt platted aNer 711193
• Rim Jaist Detail Options seledion sheet (h1d95 with 3 or less units)
DATE VALUATION
SITEADDRESS MULTI-FAMILYBLDG _Y _YPI
TYPEOFWORK rP__~ oT ,C~CIC& Q FIREPLACE(S) V 0 _ 1 _2
APPLICANTCatastroohe Restoration ServicPS Inc
SiREETADDRESS 248q Rice St Suite7n CITY Ra,pvaIg STATE_UyZIPr%Sj13
TELEPHONE # Arl-734-9433 CELL PHONE # FAX # 651_440:21,9
PROPERTY OWNER V \~'n kti TELEPHONE # \os\`kpb- gA-IS';
COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSO"l'A RiJLES 7670 CA"I'LGORY I MINNrS07'A RUI,ES 7672
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitled
• Energy Envelope Calculations Submitted
Piumbing Contractor. Phonc #
PlmnUing systcm includcs: _ Water Soflener _ L.awTi Sprinl:ler Fcc $90.00
Watcr Hcater No. of R.I. Baths
1\ro. of 13at}is
Mechanical Contractor: Phone #
Mechaziical system includes: Air Conditioning Pee: $70.00 ~
_ HeaL Rccovery SysLein f: i", I i"
Sewer/Water Contractor: Phone ~S r1- n s o ?nn7 LJj
I hereby acknowledge that I have read this application, state that the information is coryect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnatureofApplican _
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16•plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Exl. Alt - SF
? 04 02-plex ? 10 08-ptex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Foo[iugs (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Frartnng _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT
~ CI7'Y OF EAGAN • ~ " ~
3830 Pilot Knob Road PERMIT TYPE: Buz LozNG
Eagan, Minnesota 55123 Permit Number; 021507
(612) 681-4675 Date Issued: 0 7/ 16 / 9 3
SITE ADDRESS:
4623 WESTON HILLS DR
LOT: 20 BlOCK: 1
WESTON HILLS
P.I.N.: 10-83750-200-01
DESCRIPTION:
Building~.Permit Type SF OWG
Building Work Type NEW
%UBC Occupancy\ R-3 M-1
' Construction 7ype VN
Zoning , R-1
Building Length 58
8uilding Width 42
• s
i.
~
REMARKS:
S&W CONTRACATOR - D.C. MECHANICAL PRV
FEE SUMMARY:
VALUATION $143,000
Base Fee $790.00 MISC FEES $1.744.50
Plan Review $513.50 Total Fee $3,869.50
Surcharge $71.50
SAC $750,00
3AC % 100
SAC Units 1
Subtotal $2,125.00
CONTRACTOR: - Applicant - sT. Lrc. OWNER:
KEY IAND HOMES 18942636 0001553 KEY LAND HOMES
14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY
BURNSVILLE MN 55337 BURNSVILLE MN 55306
(612) 894-2636 (612)894-2636
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 Eaqan Ordinances.
- ~
APP61TILITZ NA TURE &':ISSU 0 eY: SIGNATURE
REACTIVA7E _ R sCENED CITY OF EAGAN
PEKrtT7 ~r / • 1993 BUILDING PERMIT,APPUCATION
J U L 0 8 1993 681-4675 jJ/ ~f
7
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 3VLq / -7 Valuation of work 941 720'-
Site Address: ~L02~7 WESTc*1 t+IL" DRiUF--
STREET SUITE y
Tenant Name: (commercial only)
IAT 1-0 BIACK ~ SUBD. Wao;`o~A P.I.D. 0
Descri tion of work: '--1k1c-r1.F F/QN1l1,`; QETA[-PE: ~'1 E
The applicant is: ? Owner Contractor ? Other (Deseribe)
Name Phone
Property ~~ST FIRST
Owner Address
STREET STE 0
City State Zip
Company L" Phone eR4'z(O-,7Lo
Contractor Address 1446D &RQSt11L.LE VKWY. License # I '5 Exp. "
c;ty $09Asuiu-F- state M4 . z;P 55-5oco
Architect/ Company Phone
Engfneer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber b.G• MF~.[.{~AFJIC.nL 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 appli able State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: - l -7 -"7'`13
OFFICE USE ONLY ,
BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish
'Pr02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Pub19c Facility
? 21 Miscellaneous
WORK TYPE
~X31 New 0 33 Alterations ? 35 Tenant Finish ? 37 Demolish
0 32 Addition C 34 Repair 0 36 Move
GENERAL INFORMATION '
Const. (Actual) V- N Basement sq. ft. MWCC System 'Yki~5
(Allowable) v- ni Ist F1. sq. ft. City Mater Yc ~
UBC Occupancy (Z: 1-ill2nd F1. sq. ft. PRV Required i
Zoning R-I Sq. Ft. total Booster PumP
M of Stories Footprint Sq. ft. Fire Sprinkler
Length sg , On-site well Census Code lor
Depth y2' ' On-site sewage SAC Code 61
APPROVALS j~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing 0 Insulation
? Wallboard ? Final ? Draintile ? Fireplace
~ y 3r 0~~ ''v
Permi t Fee v.imc;on: $
Surcharge
Plan Review 30 ~c 2$ = ^to
License
MWCC SAC L3SMT'.
City SAC IZo
Water Conn. ZS x 26 =~fZg i
Water Meter
Acct. Deposit 13 )C 6= 716
S/W Permit
S/W Surcharge ~ B X~`i Z.~°
Treatment Pl. /US:~ K~S~ 1J 43'Ja
Road Unit .
Park Ded. lS~ ~
Trails Ded.
Copies th/r,~• f~~~3
Other ~ K '6 -
Total : S7SG N
SAC % i 00 2<
SAC Units 1 ZBx;~,a W
ay i N. 2 Ss '
xf9 - 2S
1St/t S7 U S"~
nni r :
• ON N E R ; -`1------ - Q
S?TE ADDRESS: ~bZ~ l~I~'~T~l~ tHLL< Ph:ONE: e14- /~0?7(g,
CONTRACT.OR:~1' LQJ""'7 PIAN r~ ~~~LPZ
Determine working square foota9e of each
1. Total exposed wal l area..... l S sq. ft. x .11
2. Total roof/ceiling area..... /17 e;`4~ sq. ft. x.026 = 3(.~~i
r
Total exposed wall area above.floor= L~
a. Total wzll window area /3 S
3
b. Total door a'rea
c. Total sliding glass door• area p
d. Total `ireplace o-rall area
e. Total wzll framing area (avera9e lOF) 7~(v _
f. Total rim Joist area
g. net wall area above floor
h. wzll area above floor
i, wall zrea above floor
j. rrzme wzll area at foL-,ndzt_on
Total 2xposed foundation area=
k. Total toundation window area ~
l. Total net.ioundation area above grade /s
Determine "u" value of each wall segment
(e,g. window, cloor,,each separate wail section) ~
z. /3=i X~~~~~ . 7 = 3, S
, b. x
~ c. v X U„
• d. - X .1 ul. - _ - ,
e. ?7v X ll .07 = /~.3%~
~
r. x Ou„
X
h. X Rull _
x
i.
. ~
j• X Ii item i3 is t'
~ X "U" as, or less thar.
11, you have me=
X„U„ intent of SBC o:
3 . .................................Total
r
4.. ;OfAL EXPOSED RQOF/C.ILING CALCULATIOtIS:
Fl. V. I ~
. IF G'
Totzl exposed t~F C.
roof/ceiling area........ ~0 O sq f[
j) To[al sL:ylioh[ area....... - sq f[ x"U" .
k) Total roof/ceilinq framing f ,J
area (Averaoe Z sq ft x"U" iv"qv= Z~~~{
1) Total net insulaced
roof/cei 1 inq arez. ~f9 s9 f[ x"U" ~v~ •i~~ G~Z i•^~
L. TOTAL j) th ru 1)
I` [o[al o` is Che same as, or less than P2, you have met the intent o`
2 MC.~,-"t 1.16008 :S 2Td 0.
ALTERNATE BUILDIflG ENVELOPE OESIGN
To utilize the total envelope system method, the values established by the sun
of items .-'3 and :'4 shall not be oreater than the sum of items 91 and °2.
~ . ._~'v~ • ~ ~ + 2. + 4. -~~,S~I = SCo
i frar^e c~~sr~.a:.~ ~oc, C0NS172UCTIODG._ FR.qMING - -
1. INI'ERIOR AIP, FZLM 0.58
I ~ 2, 2 GYPBD .45
-J 3. 5 1 2 SOF'i' wOOD 6_ S 7
4• -/4' S.q -
5. SIDING .6
6. EXTERIOR AIR FILM 0.17
r
w T -p' R= 14
~ U=
I I~
c=G. 'fY:,ta/=Er.1 Cf' NEr
PIR:f'r NnLS_
i. . ~
1. INI'ERIOR AIR FILM 0.E8
T. ' i 2 GYPBD .4 =
3. L. 4.
~ s. ~zNC .62
t 3 6. 1 _ R A R LM
i ! cC~> j o. ATL
" 4
G .o
o
- - - ~ . ~ 1. IIv'T'ERSOR AIR FII1-? 0.68
~ Qf 2. 6 INSUL. 19.00
SISh~R 3. ~10 JO -
4. S.G
~ l i _ J 5. IDING . 62
6. ERTTMIOR AT_R FILM 0.17
II _ !A d~.=~
U o4 .
,
, d
BLOCK
~p~•'p` 1. INTERIOR AIR FILN 0.68
rLst ~ 2. '
~re• ' ~ ~ ~y ' 3. ST'YRO . 0
4. PROTECTIVE BA.RRIER
~ 5.
6.
TOT-AL R= 7.
U-
- -
i
SLA.5 ON GRADE o _ ~ • ,1
~ J =
I • s l Il ~X ~ : • , t
c/ DJ y IfI P , • ~ ` ~ ~ .
p; ~ _ ~ • , ~ 1111~~
RA
-~G 43 ~
i
~o NOTE: INDICATE T'~E, ~~R~~ vP?ZE. ~ P:Z
~ . . , PI.ACL~,_N?' 0= INSULP?TON.
R-VALiJE
-A~z
2 .
3. ~ „ ~ ts.T•-,~ 25Y, r~c
4. 2Airt- Ir~ J , vl
~
U
p
y,rl+~MF,T FTi041 SS
I I I 2.
I I ~ 3 .
~ 4.
- '!HIP-i. 3~-t • i
FIG. 75 U = o~~
1.
.
2
_ .
3.
~ ti.
-?v~~ ' .
I 2 Lo Lo 2: ~
~NMAT FZJJW U?' VE= 3.
~ 4,
5.
F'IG. 65 U =
1.
3.
5.
" 'V,• r~ = U -
~ 1 Z
NON_VENTEI) NOT£: USE PDDI'I'IONP.L SHE'EI5 T-F I'DRE S°AJ2'- T`
pIEf.DED FOR DETAILS P.DD C,'SLUIATT-O'TS•
HZ4T FIAtd
UP '
FZG. ~7
JUL-07-1993 09:53 FROM Tiffany Realty TO KEY LFlND P.02
l~ JU4402 19~3 14:$6 TO 8~'^404 FROH PROHE ENGIFEF" VG T- . 1
-Ab _ O~C..
coNSVtilno ano~Neans KSYL4uD oMC5
PIBN Of ond RMD JVAY4YO#PROOf.
NQ~INEEAIN6 aK, ~9s
~ COMPANY, INC. ¢Z
1000 EA41 1161h BTIiEEI, BUANSVIIIE, MINNESOTA 56331 P!l 432-3000
CERTIFICATE OF SURVEY
Legal Descr(Ption: C.oT.~y BWcle / JvESroAv IIIZI-g
,QgJ~ ~7 490Vly' M/NNE5'6
(gl71.~) DCNUTHS EXIST1NCi EIEVATiON
C 9S9.o ) DENOTES PROPOSED ELEVATION ,
INOICATES DIpHCT10N OF 8URRACH DRAINAO@
959,33 = FINISHED QApADE FLOOR ELEVATION
95/,6z = BASEMENT FLOOR ELEVATION
59. 6- TOP OF FQUNDATiON ELEVATION
BCAI$ I 1' n ,d
~ 'o~ 3oFr. ~,ea~r Bvi~ai.v6
-4ETg9CK L/NE
'r ~
30,pa •g~..
r . ~ '312 ,4.
Z'
~ ,p)EPT
p ' O $ I ,(V
h
4
f cb Q T.1
r.
~ I v o 8 o. 9/ a ~
i6,
h
10 L 26.33
4~:'~~
mfB.9-~'(
g 3a ~
N B3°Gv'ZS",kyhbB. y~ n°3
DRA/N46E AND
UT/UTY EASEMENT S7RF~T /5 NOT CoNS7K~itTbD
jpPoOo;m STXE6T' f-t~Vi4Tio.vS
s,(IWIV AAW rA,TAv ~ )09116k:7-
• CONST,QGCT/Qt/ OlANS.
[ hareby csrtify that ttiis ie a trtte and correot repreaentation oE a trect of
iand as shown and described hsYSOn. 1?s preparsd by me thia /srdny of
J~~~. . 19~• , , '
Minn. Reg. No. //ob85
TOTRL P.02
LOT SIIRVEY CHECRLI6T FOR RESZD£};:'=-1L
B9ILDINO PERMIT APPLICATION
.;a
W 52 PROPERTY LEGAL: ~ O~ m
~
~ c ~ Date of 8urvey: -4 cx .~i
~ DOCUMENT STANDARD6
(d~0 0 • Registered Land Surveyor signature and company
? • Building Permit Applicant
CJ : Legal description
~C1 Address
0"0 0 • North arrow and bar scale
tY ? 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
? 0 • Directional drainage arrows with slope/gradient
? 0'`? • Proposed/existing sewer and water services
Q__~ 0 D • Street name
~0 0 • Driveway
ELEVATION6
Existina
? D-~[) Sewer service
0~ ? ? • Lot corners
0 C~' ? • Top of curb at the driveway
13 0`~? • Elevations of any existing adjacent homes
Proflosed •
0-'0 0 • Garage floor
@l ? 0 • First floor
D~ ? 0 • Lowest exposed elevation (walkout/window)
~ 13 • Property corners
• Front and rear of home at the foundation
FONDINCi AREAB (if aoplicable)
? e? • Easement 1 ine
? Er 11 • NWL
0 ~ 0 • xwL
? C~i 0 • Pond p designation
D 0 0 • Emergency Overflow Elevation
AIlIENBIONB
~0 ? - Lot lines
0 - Right-of-way and street width (to back of curb)
D' 0 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e., all
structures requiring permanent footings)
0 • Show all easements of record and any City utilities within
those easements
0 Setbacks of propbsed structure and setback of adjacent
existing home
?0• Retaining equ ements, if any .
Reviewed: i'
ame / Da
October 1992
PERIVIIT CR BA
~ ciTY oF EAGAN -6111w
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 023463
(612) 681-4675 Date Issued: 0 5/ 0 2/ 9 4
SITE ADDRESS:
4623 WESTON HILLS OR
LOT: 20 BLOCK: 1
WESTON HILLS
P.I.N.: 10-83750-200-01
DESCRIPTION:
(INCL SERVICE DOOR)
Building Permit Type DECK
Building Work Type NEW
~
~
v
i.
,-_-ji~_- ~
~J~ .r•.~ ,
REMARKS:
FEE SUMMARY:
Base Fee $30.00
3urcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - sT. LZC. OWNER:
KEY LAND HOMES 18942636 0001553 KEY LAND HOMES
14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY
BURNSVILLE MN 55306 BURNSVILLE MN 55306
(612) 894-2636 (612)894-2636
I hereby acknowledge that I have read this application and state that the
inPormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE ISSUED e SI N TURE
v -g CITY OF EAGAN
17 ' 1994 BUILDING PERMIT APPLICATION - -
681-4675
r~ -~J'
.
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s9te surveys, 1 copy o energ
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lat change is requested once permit
is issued.
Date-Prpe.lL. / 2.-7 / 9ei Valuation of work 2..260
~
Site Address: W-T_=STOt-A f~lLl.S ~t Qac_
STREET SUITE k
Tenant Name: (commercial only)
LOT BLOCK ~ SUBD. ~£STOf-1 l.l.S P I D *
Descri tion of work: S~,UtGE poo%Z 4PD i'TtOV_~,
The applicant is: ? Owner M~Contractor ? Other (Deseribe)
Name Phone
Property LASr FIRST
Owner Address
STREET S7E #
City State Zip
Company VlE'? L,q4D ~orKts Phone
Contractor Address Hq5o guuA5ViLl.t- PViwq. License #3 Exp.3-3i-"5
City 1?>'vgr4sk)iLLt State M14. Zip 5530(cn.
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPplication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
~ ,
OFFICE USE ONLY
,
BUILDING PERMIT TYPE
? 01 foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwg. 11 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? IS Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comn./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. a 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
E) 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(A1lowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
6` of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code isy
Depth On-site sewage SAC Code ~
APPROVALS Census Unit ~
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
? .Site l$"Footing ? Framing ? Insulation
? Wallboard Final O Draintile ? Fireplace
Permit Fee v.itntsa,: $
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
Cities Di ital Quality Control
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from the original page.
~".53 FROM Tiffany Realty TO KEY LAND P.02
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ENGINEEAINQ? sx, ws
, ' CCMPANY, INC. ffi' +2
1000 LA4t 6491A ITACEI, BUItNSVILIE, MINN(lOTA 56571 Vf1 132-E000
CERTIFICATE OF SURVEY
_egal Description: ~.4oC~. ! ~vES'- ~ i
T ,~Q~ iL7/NNE
(211Zcl) ' D@NOTES EXIST1NCi ELEVATION
C 95'9.0 ) DENOTES PROPOSED ELEVATION r-- INDtCATEB DIFi8CT1014 OF SURRACE DAAINA38
„S 3 = FINI8HED QARAQE FLOOti ELEVATION
951, 62 m BASEMENT FLOOR ELEVATION
r 5. G= TOP OF FOUNDATION ELEVATION
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hereby certify that t)iis ie a true and corredt repreaentation oY a.tract of
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PLUMBING PERMTl' (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLIIVGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - - -
NO. FIXTURES EACH TOTAL
SHOWER 3.00 'J OD
3 WATER CLOSET 3.00
1 BATH TUB 3.00
LAVATORY 3.00
1 KTTCHEN SINK 3.00 3• CFJ7
l LAUNDRY TRAY 3.00 060w
HOT TUB/SPA 3.00 3, CO)
~ WATER HEATER 3.00 3 •0-7)
~ FLOOR DRAIN 3.00 ~
t GAS PIPING OIJTLET •minimum -1 3.00 ~
ROUGH OPENINGS 1.50
WATER SOFfENER 5.00
PRIVATE DISP. • Dalcpy. lie 15.00
U.G. SPRINKLER • nome unan wmt. 3.00
ALTERATIONS • w adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
srrE ,aDDREss: ~4a3 UeS6, "s ~>r ~
OWNER IvAtvIE: YIP.v, L6v,d -RD mN,S
INSTALLER: >p (V1 P('.kG vt a oo
ADDRESS: OiI( 1.ti) tica~ •
CITY: c~ Y,) eo,e STATE: 1lq ZIP CODE: S~>> ~
PHONE
SIGNATURE OF PF-RMITTEE
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PLUMBING PERMIT (COMMERCIAI,)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMII,Y BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
, NEW CONSTRUGTION
ADD ON
Rv-AAID
WORK DESCRIPTION:
CONTRACf PRICE: $
FEE: 1'Yo OF CONTRACT FEE
STATE SURCHARGE $.50 FOR EACH $1,000 OF EEttMTf FEE.
MINIMUM FEE: $ 25.00
CON1'RACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SI1'E ADDRESS:
:'ENANT R`AIME: b"TE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
' • pW U5E ONL'Y
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1993 MECHANICAL PII2MIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR 3INGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - - - - - - - - -
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) G•ba '
ADD-ON/REMODEL (EXISTING CONSTRUCI'ION) $ 15.00
STATE SURCHARGE .50
TOTAL 1~1 Q. SO
STTE ADDRESS: y~~3 (,~~te,~~.~ ,~4,(~~
OWNER NAME:~~Q TELEPHONE 8I5~-a~3 ~
INSTALLER: ~ ~ir.o Qi~r. _ •
ADDRESS:
CITY: STATE: ZIP CODE: SS3 7a--
TELEPHONE Z-IV7 ~ 9/.2
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SIGNATURE OF IAERNIMEE
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1993 MECHANICAL PERMIT (COMMERCIAL)
CI1Y OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUII.DINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DAT'E: CONTRACT PRICE: $
NEW BUILDING
IN'I'ERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRAGT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHAF2GE $.50 FOR EACH $1,000 OF PERMTT FEE.
TOTAL $
S?TE ?.DDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
PLUMBING (RESIDENTIAL) I~
Permit Application '~P 15• sy)
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellmgs
Townhomes and Condos when permits are required for each unit
Date ~ j,-:;)( / 0-3 `
SiteAddress Unit#
Property Owner Telephone #
Contractor
Address City
State Zip , Lb Telephone k c11~ QLD lp~
The Applicant is _ Owner ~ Contractor Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
AI[era[ions To Existing Dwelling Unit, Including $ 50.OD
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild ~
$ 30.00
_ Lawn irrigation system
IUI " . , ~OOJ I
Water softeuer Water heater
t1L~ 15.00
-Yreplacemen[ additional
- 1By.
State Surcharge $ 50
Total $ A~r ~
I hereby apply for a Residential Plumbing Permit and acknowledge tha[ the information is comple[e and accurate; that the work will
be in conformance with [he ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a pemvt, and work is not to start without a permih, tha[ the work will he in accordance with the
approved plan in the case of work which requues a review and approva] of p ns.
ApplicanYs Printed Name plicant s ignature