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4641 Weston Hills Dr • n ~INSPECTION RECORD~ %^vtT'l OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 S{TE ADDRESS: APPLICANT: tls I+if`I ~ II I ~ i t4 ii 1! I' PERMIT SUBTYPE: TYPE OF WORK: lNqPECT • D. f I 1•. i i' ~~~I ~ I ~ ~ i~! Ml11"F !f ( f1Nl1?11t (ut: I~f tl.' 1 11 f~}~•~! ~ iF ~ i ~ - - _.._~~~-----__e~-~-~----------------------- J Permit No. Permit Holder Date telephone I . SlIN . ~ ` PLUMBING ~ ALtA - f HVAC ELEcTRic ELECTRIC I Inspectlon Date lnsp. Comnwrns Footings ' Fourdation Frartwng Roofing Rough PICg. R°"gr? Hn9• 3D ISLA. ' - 2 J3 S Freplace , , Rnel Htg. omat rest Final Plbg. / Plbg. Inspector - Notity Plumber const. Meter EngrJPlan Bldg. Final Deck Flp. DeCk Final WeN ~ Pr. Disp. I ` ~ ^INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. N`~ r i C+ 1 ~ Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 < , , SITE ADDRESS: APPLICANT: ~;.q~ tft~'-:1"(tN FIl115~ t)H I~It i•,r~N Isf ~ r; PERMIT SUBTYPE: TYPE OF WORK: i . r:~ ~ ~ ~ ; : i • . i ~ ~•f, ~ ~ INSPECTION .A • D• ~ ;~'~'ti'/ l N~~ ~?a~.~~~ r, 1 I~!IJ ;-II1;11 I rJ i'1 ttl, i 1 NAI i i I ! f/L{i(111 1 ~ i.;h) l I I'. !~~1111 i l 11 ~ ~t! i',F! i I`f If~ll: 11'S~, ~i~~ 1 1~ ~ i t 1!:11'~ F ~ - - - -~J ~ Permit No. Pertnft Hdder Dats Telepha» # ELECTRIC aa 7 ~~3 9~ 00 ' I ~ PLUMBING I HVAC II ku"cUon Dah knsp. Comrtwnta I FOOTINGS I I FOUND I FRAMING Z 9- ; i I ROOFING ( ROUGH PLUMBING PLBG I AIR TEST I ROUGH HEATING 3 I I GAS SVC ' I TEST III I INSUL I I QYP BDAHD I FIREPLACE I I FIREPLACE I AIR TEST ~I I FINAL PLBG I 'I FlNAL HTG ORSAT I TEST BLD(i FINAL li BSMT R.I. II BSMTFINAL I • I DECK FTG r I DECK FlNAL I I r ' ~ - - I . INSPECTION RECORD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: i 61 41 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: I if 14IN FI11 1, Nr I~.~~rl i! i I IF I t1~1 It 1 I!', ( 1; 1 ! PERMIT SUBTYPE: TYPE OF WORK: . , W I, INSPECTION . I ~ ` ~ ~ Permit No. Permtt Ho1Wr Dab TskphorM • S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapection Dab Insp. CommKts I Footings I I I Foundation I FrarrMrg ROOfing . P"Vh P'°g I Ra?gh Hlg. I I Isul' I Fveplaoe I I Final H1g' I Orsel Test I I Fnal Plbp. Plby. Inspecxa - NotHY Plurrbw I Cor?st. Meter I I Er?erA'M^ ~ Bldg. Final I I Dea Ftg• ~ I Dec* F.mi I VOK wen ~ ~ Pr. Disp. I I I Address 4641 WESmN HIt1s DRIVE Zip 5512 3 Lat 23 Blk I Sub wESmN NR7S THGSE [TEMS WERE / WERE NOT COMPLETE AT THE'TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) vl~ Pertnanent steps (garage) V_~ 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 tesl caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy ' Pink - Contractor Copy • • . R Wertiffcate of CccuVattc4 _ Ctitij of Cfaga» - Wt.partiarnt of spiWiag 3a3yaHon • This Cer!lficate issued pursuant !a the requiremenfs of !he Urtifornt Bui(diag Code certifyirsg that at the time of issuance this structu'e was in compliance with the various ordinartces ojthe Ciry regulating building construction or use. For the fo[lowing: Use Classificmipc SF QX Bldg. Rrtnrt No. 21~5 . ~uP~Y TS'Pe ~,1•,' 7enivg Distria R e Co~ OwmrofBuilding " ~ ~ Addnxs , ~ Buildin8 Addrtst 4644-WMM~MS MUW a 1 'd (.oohq / 4' ~-ci,~ uara , Bwlding Offlnal POST IN A CANSPICUOUS PLACE ~ ;ChTY OF EAGAN PERMIT 3830 Pilot Knob Road PERMITTYPE: auzLn~e Eagan, Minnesota 55123 Permit Number: 021505 (612) 681-4675 Date Issued: 0 7/ 19 / 9 3 SITE ADDRESS: 4641 WE3TON HILLS OR LOT: 23 BLOCK: 1 WE3TON HILLS DESCRIPTION: Building Permit Type SF DWG 8uilding Work Type NEW "'UBC Occupancy" R-3 M-1 ' Construction Type VN Zoning R-1 Building Length % 58 ~ 8uilding Width 38 ~ _ z, ' REMARKS: S&W CONTRACTOR - GENZ-RYAN PRV FEE SUMMARY: vnLuarioN $134.000 Base Fee $758.50 MISC FEES $1.744.50 Plan Review $493.03 7ota1 Fee $3,813.03 Surcharge $67.00 SAC $750.00 SAC 8 100 SAC Units 1 Subtotal $2,068.53 CONTRACTOR: - Applicant - ST. I.IC. OWNER: JOE MILLER HOMES 14544663 0002431 MILLER HOMES JOE 3459 WASHING70N OR 3459 WASHINGTON DR 204 EAGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 I hereby acknowledge Chat 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 ot Eagan Ordinances. - J ~ APPLICANT/P~ITEE SIGNATURE~~- I ~UE6 BYn51~ ATUflE ~ REACTIVATE _ v L - PERN,IT 1993 UILDNA G ERMIT APPLICATION 8 ^ . J U L 0 6 1993 681-4675 iu SING 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 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 Yaluation of work Site Address:_`7`l0~~ ~.(J,Y.Q~-+"- t~l~~~~ • - _ STREET SUITE 1 ~Xfenant Name: (commercial only), IAT '5~~ BIACK / SUBDy_/~ /,~7F P.Z.D. k Gv - Descri tion of work: The applicant is: ? Owner eContractor ? Other (Dectribe) Name Phone Propeny LAST FiRST Owner Address STREET STE N City State _ Zip Company JOE MILLER HOMES P h o n e Contractor Address SUITE 204 License #600a1131 Exp.3-9 Y EAGAN, City #0002431 State Zip ArchitecU Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber - Processing time for sewer & water permits is two days once 4pba 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 • ' O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish fz(02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. O 17 Swim Pool ? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory ? 18 Comn./Ind. O 04 SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE JW31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Lonst. (Actual) V-N Basement sq. ft. MWCC System Y&S (Allowable) V-N lst Fl. sq. ft. City Water yES UBC Occupancy (2-3 M-1 2nd F1. sq. ft. PRV Required ~g-s Zoning ~ Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. fire Sprinkler Length On-site well Census Code Depth ~ On-site sewage SAC Code ol APPROVALS T Planning Building Assessments Engineering Variance RE(2UIRED INSPECTIONS O Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee v.woc;m: $ 13y,00 3 ~ Surcharge Znv v Rort: G~an~.•. Plan Review 3z x 24c 768 License 2x/2= (2y) 1sx16~ 67G. MWCC SAC 3X6= (~g) IX/i~ 11- City SAC 08,-) Water Conn. 72(a X 7 yy: yz Water Meter ~b x Z = 676 Acct. Deposit )L5`l% S/W Permit X/4=2w S/W Surcharge ~K b Treatment Pl. 9 ~4 X ~S= I4, 61 0 Road Unit Z- Park Ded. ISTFloons ~ j~ Trails Ded. Copies Pt-0; 10 ~ Other gyM7= 114 Total: . q 844 x M. -673) 3 6 SAC % 00 SAL Units ~ 33 14:44 TO E12 691 40E1 FP.Dh1 PROBE ENGItJEERRJG'. T-189 F.03 s:. CONSVITINO EN6 NEEIIf AQ~E PIONNEOS und ~OND 3UOVEYOOf #DI :j, pQ.NGI NE ERING COMPANY, INC. g~'• , L 1000 EAST 1481b S1qEE7, BUliNSVII.LE, MINNE907A 65331 P!1 432-3000 CERTIFICATE OF SURVEY Legai Description: 4OT_23 BLOGK WE9ToN-z~/LL5 _ n4K (~nJNTY A~ INNE30TA DCNOTES EXISTING ELEVATION (95S,o ) DENOTES PROPOSED ELEVA710N INDICATES DIRECTIpN OF 6URFACE DRAINAC#E S.3 = FINISHED GAHAQE FLOOR ELEVATION 247,62 = BASEMENT FLOOR ELEVA710N 955,6(~ = TOP OF FOUNDATION ELEVATION SCALE : 1' = 70' 30FT: FKCNT $UlLDING SETI54CK L 1NE ~ ~ cp DR41N,q6E 0.00 UT/L/TY EASEMENT ,30, S 89o 42 ' WN~a~9sz.r6 ~938.5 150,00 m32.oo ~50•2'~ ~ ~~38. w HUg' 95 ;'K{ ~e~z~cr g u~ \ ovEa Ftnw 55. 0 55,0~ 0 ~ I/~52.~1 p ZZ.3~J p[J 1 tJ tu N O~ /?.67 I Q 2.m m r C`?5o,5 j ~ m~ r Vi Q~ ~1 N ~ 0 ~ ~ u ~I v u 41 ~ \ r Z ~ ti o lj~ L---/2.00 30.33 N`0 ~ ~I y Z - 953.~ I O ~ 0 SZj, Zd•°o ~ ~ ~ ~ NUli=952.94 ~ NIJ8•953.57 I 10 ? ' o Cqyo,~ a R: 100, 0 3Z' 30~ W TO L ~U~~~ _ 0 o ~yo• ~ ; / G°oMo 7~3 ~ p o i hereby certify tliat ttiis is a trua and correct represeiitation of a tract oE land as shown anci described liereon. As prepared by me this L_ day oE ' ilat y , 19 93 ~ Mitu,. Reg. No. 0 5 ~ LOT BDRVEY CHECRLI6T FOR RrSZDE'~.`~.AL •J ',r,'. • BOILDING ERMIT APPLICATZON m T J// ~f W C ~ PROPERTY LEGAL: J dG~ ~ C.~Ili m , Date of 8urvey3 DOCUMENT BTANDARDS 0 0 0 • Registered Land Surveyor signature and company B-~0 0 • Building Permit Applicant G-~ 0 ? • Legal description 1) D'0 • Address 0' 0 0 • North arrow and bar scale ~ 0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) D' 0 0 • Directional drainage arrows with slope/gradient 0 0~0 • Proposed/existing sewer and water services 0 ? • Street name B~ D ? • Driveway ELEVATIONB Existina 0 C3~ 0 • Sewer service 0' p 0 - Lot corners o~ta-• ~ Top of curb at the driveway 0 0~ 0 • Elevations of any existing adjacent homes proeosed 0' ? ? • Garage floor lY 0 0 • First floor 0 1) • Lowest exposed elevation (walkout/window) @' 0 D • Property corners • Front and rear of home at the foundation pONDINC3 AREAB (if applicable) D Oi? • Easement line O CY' 0 • NWL ? ~ ? • HWL , 0 0I- 0 • Pond M designation 0 L1/0 • Emergency Overflow Elevation pIMENBIONB 0 ? • Lot lines @-~? 1) • Right-of-way and street width (to back of curb) 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e.. all structures requiring permanent footings) 0 0 • Show all easements of record end any City utilities within those easements Q~ • Setbacks of pro osed s ucture and setback of adjacent / existing h 0 0? • Retaini i ments, if any Reviewed: 2 ame / D e October 1992 Cv~~ ~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodebReoair Reauiremems OKce Use Onlr 3 registered site surveys shovnng sq. ft. of lot, sq. ft, of house; and all rooted areas 2 copies of plan CeA o( SuNey Recd _ Y_ N (20%maximum lol coverage allaxed) 1 set of Energy Catculations for heated add'Aions Tree P2s Plan Recd Y_ N, 2 copies of plan showing 6eam & window sizes; poured fouM design, etc. 1 si[e survey (oradditions 8 decks Tree Pres Required Y _N lsetofEneryyCalculations Addrtion-irMicafeHon-s8esepticsysfem On-site SepUc System _Y _N 3 copies of Tree Preservation Plan'rf lot platted after 111l93 Rim Joist DepJ Options selecGon sheet (buRdirgs with 3 or less units) Da[eclV UupLQ. /0J~ ConstructionCost 02, Site Address 4(0I W.t,S'bn N'VS 6( iLA-c. UniUSte # DescriptionofWork ~~~au~ F_A~L4G(pCN''t I W;NJ.QtiJ ORRJn; Multi-Family Bldg _ Y_ IY Fireplace(s) _ 0 _ 1 _ 2 Property Owner -b07V ,3Y.~SOr\ Telephone # ( (a5( ) '4S_e7 • a7g 1 lRenewal By Andersen ~ Contractor 1920 County Rd. "C" West nddress Roseville, MN 55113 Ciry State 651-264-4777 Telephone # ( ) License # 20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv I Minnesota Rules 7672 Energy Code Category , Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ~ Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wiil 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 re uires~ 'view and ap oval of plans. l I J U L 0 5 2005 ~ uL ` Applicant's Printed Name Ap icant's Signature By OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. All - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc. O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 . Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteralion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacemenl 'Demolitlon (Entlre Bldg) - Give PCA handout to appliwnt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # af Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Foo[ings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total Cities Di itg al Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ~~_G - - - - 4210. ~ vvivsi4v.1 iltV 1L.JV rm r o.r a r t a4aa H~IY~ItAL ~Y BffUriKStf[Y • ~m uu re a~, . - - . . _ ~ June'7, 2007 - • - ~ I City of Fagap 3836 PiIcrt gnob Road Eft5an. MN 55122 To Whom 7t May Concern: Elder )oncs to autho& ed to ptxil bniIding permits for Renewal by Mdezsen. ptease alIow Provide this servicc forus in EaM. Ihi$ gjahori~;~ js vaiid for any to datc the b Cityeyond 61610I; umtil a~ovaj by ~~n ~y revokes it in wiiting _ °T1~" ilding P~xmi. ~Hon bc eccePt~-~pedi@ously, as to not detay in the prvicessing vf Yfuzdcr. Plcasc caII mc If tfictc aro eny qnc,uione.. I contactcd at . f . 763-5024746. can Ge - Xour immqdiatc attcntion WtUs matter js e ectateci. ' . SinooielY> . ondR Rau tistatIarion Managar Ranowa( by Andcisscn CotPoration . . C'e.: Kurn-F.Tder 7nne~ - o;.(7 w ml ~ Received Time Jun. l. 1'01P}d OYFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. All - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) O 36 Mulli Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replecement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump ' # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing ` Siding _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total ' ••v•••• iv•,+ iuu ic..~v rt1A roJ D/l '446D x~n~nnu nr enunx~~sn _ • fm uu re a~ " . . . . . rune''7, 2um • Cityof Eagau 3836 PiIot Snoli Road Eft8ffi+ MN 55122 To Whom It Maq Conccrn: Elder 7ones to ~ p~ P bd~g ~1ts for Rencwal by Andeisen Pieaae allow date ~'ide this scrvice for us in Eagan. 'lhia bcyond 616101: un6I a mtthotizatian is vaiid for any ~o~ bY to theCity. Andorsen manaM exgreslY nevokas it in aviiting I roqnest this suttioiizatian be accepted expedi@ousl ` . - g~ . our bailding pcanit3 e~Y ~~a, . Plcasc caII mc If thcm ~not delay in the procassin of t contacteti at 763-502-4706. . an3' quewons. _ I can be Your immqdiate attention to this matter is e ' . eted. Sinaeiely, . . f ymond R &-Pm ' vstallation Managor Ranowai bY Andersen Corporat[on . , ('r.: Knrn-FJder 7nneq Received Time Jun. 1. 1:01P4d , / ~.J BS 2004 RESIDENTIAL BUILDING PERMIT APPLICATION zo ~ G City Of Eagan 3830 Pilot I{nob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConSWCUon Reuui2menis RemodeVReoair Reouiremenis Office Use Onlv 3 registered site surveys showing sq. fL of lot, sq. ft ot house; and all roofed areas 2 copies of plan CeA of Survey Recd Y_ N (20°b maximum lot coverage allowed) 1 set oi Energy Calculations for heated additions Sree Pres Plan Recd Y_ N_ 2 mpies ot plan showing beam & window sizes; poured found design, etc. 7 site survey for additlons 6 decks Tree Pres Required Y N lsetofEnergyCalculations Addrtion - indicafei(on-sifesepficsystem On-siteSepdcSystem _ Y _N 3 copies of Tree Preservatbn Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (hldgs with 3 or less unAs Date Construction Cost Site Address ~{q~ UniUSte k Description of Work - - Multi-Family Bldg _ Y r.~ Firepla ) _ 0 _ 1 _ 2 Property Owner ~ Telephone # ) `L~ Contractor ~--6' • Address Q C. State Zip Telephone ti (~5~~- y-(o ~~~5 S COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Cat@gory . Residential Ventllatlon Category t Worksheet . New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the cas/olwjwhich requires a review and approval of p ans. Applicant' Printed Name pplicant' i ure OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNlo C.O. _ Footings (addition) _ Plumbing Founda[ion H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ AirTes[ _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit 8 Surcharge TreaUnent Plant License Search Copies Other Total PER,vIIT ~ 6TY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027151 (612) 681-4675 Date Issued: 0 3/ 14 J 9 6 SITE ADDRESS: 4641 WESTON HILLS DR LOT: 23 BLOCK: 1 WESTON HILLS P.I.N.: 10-83750-230-01 DESCRIPTION: ; Building,Permit Type BASEMENT FINISH Building Work Type AITERATION ' Census Code ~ 434 ALT. RESIDENTIAL ~ . ' . , • REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - NELSON BECKY 4641 WESTON HILLS DR EAGAN MN 55123 (612)944-8790 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. (~.~c/Z,t/c~~ • /~-~c'~hltiJ `~Ot~G ~.w ~`Y~l.~ APPLICAN 1PERMITEE SIGNATURE ~ ISSUED EfY: SI ATUR~E C- .J~ CITY OF EAGAN 3830 PILOT 4tNOB RD - 55122 1996 Ri11LDING PERMIT APPLICATION (RESIDENTIAL) ? ~681 -4675 New ConsWdion Reaulrcments Remodel/Reoalr Reauirements ? 3 registered site surveys O 2 copies of plan ? 2 copies of plans (inGude beam 6 window sizes; poured ind. design; ete.) ? 2 site surveys (ex[erior atld'Rions & decks) ? t energy calcvlationa ? t energy ealculations (or heated addilions ? 3 eopies af tree preservelion plan N lol plaNad after 711193 required: _ Yes _ No DA7E: 3"-7 "Q(, CONSTRUCTION COST: ~ f 0 1 LUL)' DESCRIPTION OF WORK: y" 1 P1lSh baSed'Yl-ti y7~- STREETADDRESS: 4,LE1 ~~`~I7'Vl &((S UVlU2_ LOT Z~ BLOCK ~ SUBD./P.I.D. PROPERTY NBme: Phone OWNER ' ue. rws/~, Street Address . City: State: W) Zip: Z3 I iJu-~ h~e Ph # qU~ ~~9~ CONTRAGTOR Company: Nf A P Phone Street Address: License City: State: Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~[~~~Q~f Certificates of Survey Received _ Yes _ No ~AR y; 1996 Tree Preservation Plan Received Yes No OFFICE USE ONLY ` BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging z:&'~-16 Basement Finish ? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex o 15 Deck WORK TYPE ? 31 New Ae'-33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION ' Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code o y Census Bldg Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge i• ' Plan Review License MCNVS SAC Citv SAC • • Water Conn. Water Meter Acct. Deposit . S/W Permit S/W Surcharge " Treatment PI. • Road Unit Park Ded. ' Trails Ded. Other ' Copies , Total: % SAC SAC Units • PERMII A CITY OF.EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u.r Lo z N G Eagan, Minnesota 55123 Permit Number: 023700 (612) 681-4675 Date Issued: 0 5/ 2 4/ 9 4 SITE ADDRESS: 9641 WE3TON HILLS OR LOT: 23 BLOCK: 1 WESTON HILLS P.I.N.: 10-83750-230-01 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - NELSON DANIEL 4641 WESTON HIILS DR EAGAN MN 55123 (612)452-2784 I here6y acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. Statutes and City of Eagan Ordinances. - ~ ~ ~ / ~ ~m J~ 4PPLI ANT/ _ SIGPf URE ISSUED B~NATU ~k ~ . ~ CITY OF EAGAN ~'ECCoEI\1//ED j)o1994 BUILDING PERMIT APPLICATION 681-4675 _ 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 Valuation of wark Site Address: "7&yl OJaSTCj i-l1 t-v A2 . EAG-Atil, tl,CJ 55l2,3 STREET SUITE # Tenant Name: (commercial only) LOT C..3 BLOCK ~ SUBD. 0CfJ(~Dk) K~~S P.I.D. # Descri tion of wozk: I~GU< The applicant is: (YOwner ? Contractor ? Other coe:or;ne> Name NEC.S) M AlleL {f- Phone q3 -Q - 37k Property LAST FIRST u, - - 2 UWfI@I' Address U),~5rUj D/z - STREET STE # City L.464'A] State "Id Zip Company !k Phone Contractor Address License # Exp, City Si:aie Lip 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 O 01 Foundation ? 06 Duplex ? 11 Apt./Ladging ? 16 Basement Finish ? 02 SF Dwg. O 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition 11 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 1:1 05 Sf Misc. ? 10 Mult1. Add'1. J~ 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE Q"31 New ? 33 Alterations 0 35 Tenant Finish 11 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL IPJFORMATiON Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Baoster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code 77-3-11 Depth On-site sewage SAC Code Census Bldg , APPROVALS Census Untt o Planning Building Assessments Eny~neering Variance REGIUIRED INSPECTIONS ? .Site Q"Footing ? Framing ? Insulation 0 Wallboard U Final ? Draintile ? Fireplace Permit Fee vaiuacton: g Surcharge _ Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other ' Total: SAC % SAC Units ~ 93 14:44 TO 612891 4861 FR014 PROBE ENGIFEFRING. T-189 P.03 ~T [ONSVtt NO !NO Nfflls ~'e 11013E rLnnri~llf and ~IIND iUOYtYOIIS # Se'r'( ~ 01 PENGINCEERING Ba. 195 COMPRNIl, INC. o~• Q° iooo cner i4em l111CCT, OOONSVIIIE. MINN[lOIA 66337 ru ~ax-eaoo CERTIFICATE OF SURVEY Legal Descriptlon: LoT.z~ a~ocK _~y_v~ro~ ~ 5 \ 7'n=r~_nJNTY INAlE T - - (9O-Z) OCN07ES EXIS71N0 ELEVATION (955,0 ) DENOTES PNOPOSED ELEVATION ' INDICATHB DiRECT10N OP BURFACE DRAINAQH - 955, = FINISHED OARAOE FLOOR ELEVATION ' 947,62 = BASHMENT FLOOR ELEVATION . 155,64 = TOP OF FOUNDATION ELEVATION t BCAL6 ~ - 70' . . :af . 30Ff..FP0NT BUfLDING . S,&TBACK LINE D)U1NfqB6 /U/D . i I~ i 0.00 I ~ . UT/L/TY E43E41ENT L k ' . . S 89' 4a' 30" WNw,ysz.rc ~ 95i.s~ . ~938s 150.00 ~ ~955.0 55A~ y~ I • \ 'O ~ N o ~hV t n B.z9 Is ~Z~ I 26,m 33.{ j'I y $e \ N sso p ~ ~ -g . ~ mas.bi * ~ h \ NUB•95294 N~6•q53.57 IID ~ . ~ ~ o Ir J,- a *W - C95o~ 5 R,3~.o0 5.7( o, ~.9~~~ ~-7. 32 30~ ~ . W r_P,oULEUpkD (q52A'~ - o $R15'(OL _ o ~5~• ~ ~ / ~ r I liereby oertlfy that tllle le a true aud oorreat representation oP a traot ot .lend ae sliown and deaorlbed Iteraon. Te prepaYed by Ine thi9 S,Lr dey ot rh.e.v 199s~"_• i~~/~Lt~.~. / /aw~ _ Minn. Reg. No. 16085 ~ CCITY USE ONLY L ~ BL _L RECEIPT 71(e sixx.v DATE: 04 SUBD. LCJ~ / 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES ~ EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x I = Kitchen Sink 3.00 x = Laundry Tray 3.00 x -r = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener - 5.00 x = Private Disposal ` Dakota Cty. license 20.00 = U.G. Sprlnkler ' home under const. 3.00 - Alterations ' to exis?ing 20.00 = J Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: OaN r~- INSTALLER NAME: ~~~•tit STREET ADDRESS: 65V(? L77~ CITY: PflJ~ STATE: ZIP: ~3 ~•J~ PHONE#: (Gia ) yy~ , . blfi`NA TDRL 6FPEffIOfiTT OFFICE USE ONLY L _ BL RECEIPT ~ SUBD. DATE 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete ior: ~ all commerciaVindusVial buildings. ~ multi-family buildings when separate permits are = required for each dwelling unR. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% af contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIp: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: PERMIT City of Eagan Permit Type:Building Permit Number:EA108331 Date Issued:12/03/2012 Permit Category:ePermit Site Address: 4641 Weston Hills Dr Lot:023 Block: 001 Addition: Weston Hills PID:10-83750-01-230 Use: Description: Sub Type:e-Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Matthew D Carruthers 4641 Weston Hills Dr Eagan MN 55123 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132665 Date Issued:08/27/2015 Permit Category:ePermit Site Address: 4641 Weston Hills Dr Lot:023 Block: 001 Addition: Weston Hills PID:10-83750-01-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John S Potokar 4641 Weston Hills Dr Eagan MN 55123 (651) 895-7757 Wellington Home Improvement 3938 Meadowbrook Rd St. Louis Park MN 55426 (952) 933-6300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146747 Date Issued:11/13/2017 Permit Category:ePermit Site Address: 4641 Weston Hills Dr Lot:023 Block: 001 Addition: Weston Hills PID:10-83750-01-230 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 - John S Potokar 4641 Weston Hills Dr Eagan MN 55123 (612) 723-6345 Gates General Contractors, Inc 3500 Vicksburg Lane North, Suite 400-351 Plymouth MN 55447 (763) 550-0043 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158142 Date Issued:09/27/2019 Permit Category:ePermit Site Address: 4641 Weston Hills Dr Lot:023 Block: 001 Addition: Weston Hills PID:10-83750-01-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 S Potokar 4641 Weston Hills Dr Eagan MN 55123 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159948 Date Issued:01/30/2020 Permit Category:ePermit Site Address: 4641 Weston Hills Dr Lot:023 Block: 001 Addition: Weston Hills PID:10-83750-01-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 S Potokar 4641 Weston Hills Dr Eagan MN 55123 (651) 895-7757 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174271 Date Issued:01/13/2022 Permit Category:ePermit Site Address: 4641 Weston Hills Dr Lot:023 Block: 001 Addition: Weston Hills PID:10-83750-01-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 S Potokar 4641 Weston Hills Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177478 Date Issued:07/05/2022 Permit Category:ePermit Site Address: 4641 Weston Hills Dr Lot:023 Block: 001 Addition: Weston Hills PID:10-83750-01-230 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 S Potokar 4641 Weston Hills Dr Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature