4642 Weston Hills Dr
~ . . , INSPECTION RECORD
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ow. ! 10 ~ (612) 681-4675 .
~ SITEADDRESS: APPUCANT:
~I,I!,I t?,I:
l
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION O
~ ~ ,
. Permit No. PamR Ho1da DOts TMeplane s
• SIW
. PLUMBING
61-
HVAC OG 9 ~~a'
~
ELECTRIC zi&
ELECTRIC
Infpoctipn DNs Insp. COmrtients
F°ou"w ' 3/ 93 ki
F«,ndatio,
F`s",ing
Roofxtg /J
y
Rough Plbg• AIL
Rwo Htg. ? s~ls3
iaw.
IW
Fnal Hlg.
Orsat Test ll
Finel Plbg. PIb9. Irispector - NdMy Pturtiber
Gonbt. Meler
En9?JWan
Bbdg' Firmd J 1 ~
Dedc Ftg.
Deck Final
WeN
Pr. Disp.
INSPECTI4N RECORD~~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: ~
(612) 681-4675
SITE ADDRESS' ' , ' " " APPLICANT•
' r. NI ~~r R •
~ ill ',I(1N Itli l': I)~ Ffi~ fllti I
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D•
~ ~II
~
porrnit Np, parmk Nolder Deb TeNphon*#
ELECTRIC
PLUMBIN(3
HVAC
~ k»p~crion D" IMp. Comm~nb
FOOTINGS
FOUND
FRAMING I
I
ROOFtNG
~ ROUCH
PLUMBINd
( PlB(3
AIH TEST
ROUCiH
HEATIN(i
GAS SVC
TEST
INSUL
~ (3YP BOARD
i
FIREPLACE
FIREPUICE
IJR TEST
FINAL PLBG
FINAL HTG
ORSAT I
TEST I
BLDG FINAL I
I
BSMT R.I. I
BSAAT FlNAL I
DECiC FTG
I
DECK FINAL I
I
I
I
INSPECTION RECURD I
CITY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ ~ ~ ~ ~ • I
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 I
SITE ADDRESS: ' APPLICANT: I
PERMIT SUBTYPE: TYPE OF WORK: ~
INSPECTION D• • DA I
I , ..I
~
I
~
Psrnit Holde? Dste Telephone #
PLUMBING
HVAC
Inspaction Dete Insp. Commsnts
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
tNSUL
GYP BOARD
6
FIREPLACE _7-,~f . ~
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IHFIGATION
METER
FIUSH
MAINS
CONDUCTIVITY
TEST
HYDRQSTATIC
TEST
BSMT R.I. ~
BSMT FINAL
DECK FfG
DECK FINAL
- - - - -
Wertificate bf cccupanc~
~c~ttt~teut of ~rI[i~g ~a~}~ection
This Certificalt issued pursuant to the n?qLirements of the Uniform Building Code
cerlifying tllat at the tinte of issuance tliis structun was in compliance with the various
oriinances of tlu City regu/ating building conslnwtion or use. For the follawing:
uwcb=w,*,,,SF B1G smg. em;, ro. 21838
OCCW-r iYve R3/M I zon;ng uisaia Rl rra cons,. VN
o.OM Or ewww%T C OONSZRUCI'IM Ad&m I Q784 KMM AVE, I a[a?tm 1 F
ei,;Wing 642 WESTa'1 HIIIS IRIVE Low:yL6, B2, WFSIM I~S
Da-
POST IN A CONSPICUOUS PLACE
Address 4642 WESIC)N HILLS DRIVE Zip 55123
L.ot. 6 Blk 2 Sub t,Esmrr tin.Ls
THESG TI'EMS WERE / WERE NOT COMPLGTE AT THE TIME OF THE FINAL INSPECfION.
Date: 40 Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway _V/ .
Permanen[ gas ?
Sod/Seeded grass v
TraiUwrb damage V
Porch ?
Basement finish Ll
Deck ~
Please vcrify with the builder the removal of roof lest caps from the ptumbing system and the shuhoff of water supply lo
the outside lawn faucet before freeze potential exists.
ContaM enginecring division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - CoNractor Copy
PERMIT OR04900
CITY OF EAGAN 9IP-7A5
3830 Pilot Knob Road PERMITTYPE: euiLozNs
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 4 4 9
(612) 681-4675 Date Issued: 0 9/ 2 6/ 9 5
SITE ADDRESS:
4642 WESTON HILLS DR
LOT: 6 BLOCK: `L
WESTON HILLS
P.I.N.: 10-83750-060-02
DESCRIPTIOPI:
Building Permit Type DECK
8uilding Work Type NEW
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - qpplicant -
KRUSE MICHAEI_
4642 WESTON HILLS DR
L"AGHN MN 55123
(612)921-8315
I hereby acknowledgo that I have read this application and state that the
in'formation is borrect and agree to comply with all applicable State of Mn.
StAtutes n /iCity of Eagan Ordinances. J
~
APPLICANT/PERMITEE SIGNATURE ISSUE' u':r+GNA OfiE
.m n
1 6449 CITY OF EAGAN ~;;3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) f,,E^~~
681 -d675
New Conshuetion Reauirements RemodeVRenair Reauiroments
? 3 iepbterod ske wrveys ? 2 eopies of plan
? 2 copies of plena (indude beam 3 window sizes; poured fid. tlesign; etc.) ? 2 eke aurveys (erterior Wditions 8 deeks)
? 7 eneryy calalatians ? 1 energy alwlations for Aeated addkions
? 3 copba of tree proaervatlon Dlan H lot plattetl after 7/1l93
iequirod: _ Yea _ No
DATE: !jL5- CONSTRUCTION COST:
DESCRIPTION OF WORK:'
STREET ADDRESS: E-(~G P~
LOT ~ BLOCK C~11 SUBD./P.I.D. ~VEYVIN~~ ~GS
y'ai - ~3i~v~~n2
PROPERTY Name: ~K?\h'~ C Phone#:
OWNER
Street Address- wES`ro x 4c~c.S 19,
City: Eca r, s, rf State: /9^'/ Zip:
CoNTw?CTOR Company: 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 pertnit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all
applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
r-- - -
OFFICE USE ONLY ~ • ~ ~-L~
c' : J n f q,~rtr
Certificates of Survey Received _ Yes _ No ~~•~~~..i
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE •
0 01 Foundation o 06 Duplex ? 11 Apt.lLodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. a 10 = piex 5 Deck
WORK TYPE
,goo-31 New o 33 Akerations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MC/WS System
(Ailowable) Main level sq. ft. Ciry Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 3 f'
Depth Footprint sq. ft. SAC Code
Census Bldg /
Census Unit O
APPROVALS
Planning Building Engineering Variance
.o
Permit Fee Valuation:
Surcharge
Plan Review
License
MCNVS SAC
City 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
- - . - . - - - . . ~v~~r.~ ~•.~~r-t~. ~ C.:.:.] :174. CI AiJ W e i~.. ~ ~
. ~ ~ . . . . .
~ " " . .
- - - - - - -
FROM PROBE=ENGINEERtNG`!--: T-320.P.62
. ~ . . " _
~ ' ° F ~-T .`C,
. orvSTRv . .
~
C e ~
CoNSUlTlNO lMOINilRS - ' - -
PtnNHEns ana ~nnD lunvivons - -
~ E ~5952,07 ~ ;
t GiNEER(NG - . ~
~t '
Lr
COMPANY -INC..
. . I. ~ . ~T .
_ +IOGO EAST 1461h 9TRELT, BURN9VILlE, M1NNE60TA O5Dl7 . PN ~32•b000 ~
~ ~.~•ri;•i{'.`~,'•: ~ . , - , ~
CERTIFICATE OF SURVEY „ ~ , ; : ~ .
~~Legal Description:
;
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION :
INDICATES DIRECTION OF SURFACE DRAINAC3E
' 956.69 = FINISHED GAAAGE FLOOR ELEVATION
' . ~ 241, (05 = BASEMENT FLOOR ELEVATION "
~ 297, (09 = TOP OF FOUNDATION ELEVATION
,
BCALE : 1' m 70'
, - 3o fT• FRONT Bv/LD/.u6
~ SETBAC'.K L/NE
7-
30,00
L i ? .
89° ¢2,~.,E
sz, ~52.5 ,
• o,~ (ys
155,00 _7e-r- - -'n--~ ~ ~
3 ~~~,1Tn 1~ ~ vl 35
28,3
A t0 ~ ojp~~a
~ll /.67
,
o , ~ • ' o
.67a°~ N
I~ 6 30.571 „ O 1 W"` •
zz,ao
o ~p nj ~
p I IN~e J '
, ~ !0 i955. ~ g 2i•~ ~ Ih~ ~ ~ ~r ~ ~
\
,
(ys6.~
'7- f,--7 OR~'/•Vq6E AND
~ L..~~,
- - •i. >
~/<<:{, s-- '
' p.•L~~ . - y" -_',~~..-c.. .~~C~/ j ~ ~
z harebVi certify tliat tliis is a trua and correot representation :of':a tract
. . _ _ hv me thi0 /977/ _ dfl)
RESIDENTIAL ~'~/S
BUILDING PERMIT APPLICATION
CITY OF EAGAN ~7X 25
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reaulrementa RemodeVReoair Reauirements
• J registered sde surveys showing sq. R of lot, sq. fl. of house: and all mofed areas . 2 copies of plan
(20%masimum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 co0ies of plan showing beam & window sizes; poured found desgn, etc.) • 1 si[e survey (orexterior additions 8 decks
• 1 set ol Enettgy Galcufa6ons . Indlcate It home served by sepBc system for additions
• 3 copies of Tree Preservation Plan d lot platted after 711/93
. Rim Joist Detail OOlions selechon sheet (hltlgs with 3 or less units)
DATE VALUATION
SITE ADDRESS ylz~oG ~P~~~ A,U,e Lnam LTI- AMILY BLDG~ Y ` N
TYPE OF WORK ~~L? FIREPLACE(S) ?0 _ 1_ 2
APPLICANT S f,t A'AO,/~l//~t
STREETADORESS S CITYta(LSTATE,QWIP~ r Y
TELEPHONE # 9.~ S811o113-ZC LL PHONE # FAX O5//
PROPERTYOWNER /~/e~~M~Y ///~S /~iP/A1SZ° TELEPHONE# 4V"l~~o S~9/~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNL;SOTA RULIS 7670 CA1'GGORI' I MINVESO'CA RUI.ES 7672
(d submission rype) . Residential VentilaGon Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submrtted
• Energy Envelope Calculations Submitted
Plumbing Conhactor. Phone #
Plumbing syslem includes: Water Softcner _ L.awn Sprinkler Pee: $90.00
` Water Hea[er _ No. of R.I. Baths
No. oC Baths
Mechanical Contractor. Phone #
Mec}i:uiical systein includes: Air Conditioning P'ee: $70.00
Hcat Rccovcry System
Sewer/Water Contractor: Phone 4-a
°----------•-I hereby acknowledge that I have read this application, state that the information d agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan s. Signature of Appllcant~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY ,
? 41 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 E#. 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 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 Alterafion ? 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) _ FinaVC.O.
_ Foocings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Poo] _ Ftgs _ A'u/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee / as
Surcharge o~• c~ U
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total ) 3- ~
PERMIT
-CITY OF EAGAN
38210 P!lat Knob Road PERMIT TYPE: Bu z Lo r N G
EBgan, Minnesota 55122-1897 Permit Number: 0 3 2 3 8 2
(612) 681-4675 Date Issued: 0 6/ 2 9/ 9 8
SITE ADDRESS:
4642 WESTON HILLS DR LOT: 6 BLOCK: 2
WESTON HILLS 0W
P.I.N.: 10-83750-060-02
DESCRIPTION:
Building Permit Type FZREPLACE
Building Wp.rk Type NEW
-Census Code , 434 ALT. RESIDENTIAL
r ,
REMARKS:
CHIMNEY/FLUE MUST BE INSPECTED BEFORE CONCEALING
FEE SUMMARY:
Base Fee $50.00
Surcharge $,50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
HEAT-N-GLO FIREPLACES 18900758 0002960 KRUSE MIKE
3,950 W HWY 13 4642 WESTON HILLS DR
BURNSVILLE MN 55337 EAGAN MN 55123
('612) 890-0755 (612)686-5799
I hereby acknowledge that T have read this application and state that the
infarmation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L J
. j
APPLICANT/PERMITEESIGNATURE ISSUED SI ATURE
37o 382e -
CITY OF EAGAN
3830 PllAT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION
681-4675
DAT'E: 9,q~ PERMIT FEE: $50.50
DESCRIPI'ION OF WORK: \X/ Construct new fireplace _ Alterations to existing
Install ¢as insert onlv Install ¢as line onlv
Other
JOB ADDRESS: 1 f s~'
LOT: BLOCK: ~ SUBD:MION/P.I.D.
APPLICANT (c'vcle one only): OWNER CONTRAC OT
I hereby acknowledge that I have read this application and state that the information is correct
and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
Name: Phone #&X-/
PROPER7Y Lazt First
OWNER
Signature:
Street Address: L( ~J-0=L a•
c ~
City T~GIG) u Y\~ State: M - ZiP:
Company: EwS dQ C.0rvQf,1hIl 4/ Z(e$/JPPhone
FIREPLACE
INSTALLER Signature:~cisd-
Street Address: ? License lt 7_1~
. ~
Ciry G11` 4 ~ State: ~ Zip:
Company: Phone il:
GAS LINE
INSTALLER Signature:
Street Address:
D ,~2sti~
,r • , . e.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New O 33 Alterations
? 32 Addition ? 34 Repa'v
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspe,cted before concealing.
>rJ~
.
CITY USE ONLY
L BL y RECEIPT#: ~
SUBD. RECEIPTDATE: 0(0// <-/9~
1997 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
~ backflow preventer for underground sprinkler system
FIXTURES EACH NO, TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
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 ' for dwellings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U G Spflnklef ' for existina dwellina • 20.00 ` Alterations ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' oak cry iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL oz' -Z"D
1 hereby acknowledge that I have read this applicatlon, state that the infortnation is corteG, and agree to comply wkh all applicable City
of Eagan ordinances. tt is the epplipnYS responsibility ta notify the property owner that the City oT Eagan assumes no liability for any
damages caused by the City during its nortnal operational and maintenance ecfivities to the facilities constructed under this permit within
City propeRy/rigM-of-way/easament.
SITE ADDRESS: 141A2 )a )'dym AlI Is brr'ue
OWNERNAME: Mrvilel ~ )~"US2
INSTALLER NAME: Se l'p TELEPHONE
STREETADDRESS: .~~ya ~~''SI"ur~ I~' I¢ NiUP
CITY: STATE: MA 1 ZIP: ~Sla 3
y- ,3o 9,7 ,-,1?)71Ym M. -Al, in o.
I,J! GX/ ~ S 720- lq SIGNATURE OF PERMITTEE
16A
PERMIT C~2~.
, CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: rLDJiNG
Eagan, Minnesota 55123 Permit Number: 021838
(612) 681-4675 Date Issued: 0 8/ 3 0/ 9 3
SITE ADDRESS:
4642 WESTON HILLS DR
LOT: 6 BLOCK: 2
WESTON HILLS
P.I.N.: 10-83750-060-02
DESCRIPTION:
Building, Permit Type SF DW6
Building Wo,rk Type NEW
UBC Occupancy,. R-3 M-1
Construction Type V-N
Zoning R-1
Building Length 66
Building Width 52
~ .
~
REMARKS:
S & W PLBR - PRV
FEE SUMMARY:
VALUATION $141,000
Base Fee $783.00 MISCELLANEOUS $1,744.50
Plan Review ;508.95 COPV $.50
Surcharge $70.50 Total Fee $3,857.45
SAC $750.00
SAC $ 100
SAC Units 1
Subtotal $2,112.45
CONTRACTOR: - Applicant - sT. LIc. OWNER:
T C CONST INC 14693723 0001076 T C CONST INC
19784 KENNICK AVE 19784 KENNICK AVE
LAKEVZLLE MN 55044 LAKEVILLE MN 55044
(612) 469-3723 (612)469-3723
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.
- Statu~es and City ofi Eagan Ordinances.
~
~
f
APPLIC T/PERMI EE SIGNATURE Z
I E : S URE
REACTIVATE _ CITY OF EAGAN 4 - ) ,-.q_
PEwM17 r 1993 BUILDING PERMIT APPLICATION
681-4675
? IM^ f'I~° ~"J 1Vi lV 1 I~1 ;Y`1iJ~ V-T W
SING MULT1-FAMILY 2 sets of plans, 3 registered site s t,--l laf eper9y
calcs.
LOMMERCIAL 2 sets of archltectural 6 structural set of
specifications, 1 copy of energy cilcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
1n which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work K'9 9 ~CD C_~,
Site Address: /.[wLAL
LiREET fUITE 0
Tenant Name: (commercial only)
IAT _(P BLOCK d SUBD. N
cs-~ n
Descri tion of work: (='C---~
The applicant is: Owner 0 Contractor 0 Other (DeccrlGe)
Name =C C (~3 V~-IP h o n e y6 5
Property LAST FIRST
Owner Address 197 ~y kc,, A e
STREET CiE Y
City e-jc~Kcv~~l State RA~lnr~ Zip
Company Phone
COntfBCtOf Address C c~~ 'c • License M Exp.
City State ZiP
Company Phone
Archltect/
Engfneer Name Registration /
Address
City State ZiP
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPplication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
.
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging O 16 Basement Finish
g 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. E3 17 Swim Pool
O 03 SF Addition ? OB 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Lomn./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Oeck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
P5 31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish
O 32 Addition 0 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System YF'S
(Allowable) V- N lst F1. sq. ft. City Mater Y45ES
UBC Occupancy R-3 rn2nd F1. sq. ft. PRV Required
Zoning 2_1 Sq. Ft. total Booster Pump
i' of Stories Footprint Sq. ft. F1re Sprlnkler
Length On-site well Census Code oi
Depth 5 a, On-site sewage SAC Code ui
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS '
O Site 0 Footing ? Framing ? Insulation
? Wallboard O Final ? Oraintile ? Fireplace
Permit Fee v.imcim: S lqI,
Surcharge Gt~RA(,E: ~ 3
Plan Review , 47~ 2-=
License 2 X )2 - ~ y)
MWCC SAC e-----
c; cy sac s s; 7 y y
Water Conn. 3~x2~= Syo W6= 1I,9Oy
Water Meter
Acct. Deposit 'Zq
S/W Permi t ~
S/M Surcharge ~I I X 15= i
Treatment Pl. L owct;
Road Unit
Park Ded. SZo
Trails Ded.
LoPies • ~ ~ nlair~ Lev~L; ~
Other -
Total: ~66? XSy; 90018
sAC % ~yo~ Go~
SAC Units 1
' • ~ ~ _ _ - - - - - - - - - ~ '~:qdre..-~-c::s-:-.; .-_:..-m 3iu:~tay_~,y~'.x~4;i= i;:~'-:.
-:~.:-f<_"7.-: tr----FROM P_ROBE:ENGINEERING:;'«:;;i`.~r:T-320.;P.02':: `•:4...,:~,;,.!::
1RU9~p.93 ~13:19 T0=469=3304!----' ~ - _ - - -
it~'..-
:
"T
. • - . . _ D'rI/ TRT./Ort/:i,.
~ s:, /JC
~ ..~OI;F. ~ PlI1NNEflf and ~AND 3UIIWYORf";`
=r:EN41,N EERING -
~:;.r;~~,:~;
t COMPANY INC_,
. . . ,
~t : : 10
00 EAST NBih BTRECT, BURN9VILLE, MINNESOIA 55337 :-P,H 43Yb000' ~ i
i:;- CERTIFICATE DF SURVEY
.
Description:
: : ; . . D9.E~dTL~ CDUNTY M/~l/NESOT ~
DENOTES EXISTING ELEVATION ;
, ~ ; ~ ( 956,3 ) DENOTES PROPOSEDiELEVATION
INDICATES DIRECTION OF SURFACE DRAINAQE
; 6, = FINISHED GARAGE FLOOR. ELEVATION
941, 65 = BASEMENT FLOOR EI.EVATION :
59 7.69 = TOP OF FOUNDATION ELEVA710N
,
~ BCALE : i' e 30'
30 f7 FROrVT 84114IJ/i46
' . ~ SETBAC.K L/NE
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_ . . : 30, oa L
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~ ,~v / 89C. ¢Z ~ 30~~ E ~sz.s~
• o`~ ~y5Z.5~
~Ni rs_z 155,00 ~ ~41
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A ~0 ~ ofN` ^ 28.aa
~ m 67 Q h N 'O
~ ~ , I \n MI ° ~1 8 ~ ~L:I
.67
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~1 ~ ~I ~ /.33. ~g ~ 30.00 `p~.l h ~ I • ' ~ ~ .
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Y..~E9SE~!TEN7
BY
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' I hereby ,oertify. .tha~ tl~ie is a true and corYOcredprb69me8thie ':a.AkaCt
lan~d ~'aT :shown and _des~ ~ibed kiareott. Ae P Pa
.
d
W , LOT BIIRVEY CHECRLI6T FOR RESIDENTIAL
v
ft
~m N BUILDING ERMIT APPLICATION
m J ¢ PROPERTY LEGAL:
<
c a w ~
W < N Date of Survey:
.8 8
~
< Z 2 DOCUMENT 6TANDARDS
G-~? 0 • Registered Land Surveyor signature and company
? • Building Permit Applicant
? ? • Legal description
? • Address
R~ • North arrow and bar scale
? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
[I--'0 ? • Directional drainage arrows with slope/gradient
? 0~ ? • Proposed/existing sewer and water services
9~K ° ? • Street name
C~ ? ? • Driveway
ELEVATIONS
Existina
? 0"~0 • Sewer service
? ? • Lot corners
• Top of curb at the driveway
? 0---11 • Elevations of any existing adjacent homes
Proposed
C~? ? • Garage floor
? ? • First floor
? ? ? • Lowest exposed elevation (walkout/window)
CC~~ ~ • Property corners
? • Front and rear of home at the foundation
PONDING AREAS (if applicable)
0 Cr'o • Easement line
? 0,? • NWL
? 0~ 0 • HWL .
? C3--13 • Pond # designation
? ~ ? • Emergency Overflow Elevation
DIMENSION3
C~p ? : Lot lines
? Right-of-way and street width (to back of curb)
o% ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
P--? ? • Show all easements of record and any City utilities within
those easements
? • Setbacks of proposed structure and setback of adjacent
existing homes
?P---0 • Retaining wa - re ements, if any
Reviewed• ~ o
bt'ame / ate
October 1992
.y . , . ~ , . , . , . - .
EXTERIOR ENVELOPE AVERAOE "ON COKPU,TATIOH
r;:r, .r~ ~ ,
.i;. ,~,'i ~ . , •
r~-
. <OMNER'.. •
c o n 11f~ ~ ~~l.L
: . . e
~:{aiTE AacRtss
CONTRACTOR DATE r• /.~`~-~i~' `PHONB
Determine rorking aqunre footage of eaohc,
' 'I.-Total'expoaed raTl:srea..... 5 7' sq. ft: x
' 2.. Total roof/ceiling ares.....~ r'~~,'.~•' sq. ft: -Otjo
Total expoaed Nall area abbve floor
. ,j .
i. Total wal~l xindox area . . / /
:b..- -Total door ,area.i'... ' . s
'•Total aliding'.,glaae door area . . . . . . . . . . . . . '
" d., Total fireplace~wall area.......
e: •Total• xall frdming,;area (average 10x).•.:..
, • • "l:- '7'otal net'wa•ll,area;above floor........... ~r
g. Totdl rim.joi'e't nrea L-•
Total'expoeed foundation area
h. Total foundation xindow area
~ : i, i.' Total net -foundation area above grade...•..:.
Determine value of each wall'•seqment. . .
a.. 'X. nUn
+.4!. . '
b. x't,U„ 47
C. J( nU"
d'. X nU"
'i .
x "u" iQ~ - ~ ,~5' . . '
X "U"
~ .
g : ,.09'L5T_1;X „U„ , ov ~ ~3e~~
~ h . X "U"
'X "U" ~ • ' ~ ~ ~ ,;i". .
....,r' ...Tota1 ~ :
; , ~ • ' '~i i~.
, ~ . , , , i• ~
;If Stam'!3' is~:bhe; •ame ~ae, or!leee thari item'/1you liave jmetCdi'~'~.?.
iht6nt-olSBC60o6i'(0)2. ~ , ~ . , ~ ~ ..;,~;s• ~
. . . , , . . . ~ . .
~i. ~ , ~ ' i . , ' '•a ~ ' ,
.
' • ~ • ~ '.i ' . ~~i, , ,
'1~ . . . . ,
/
: Total exposed roof/ceiling area ¦ 1~.
, . ,
. Total gross roof/ceiling area ~
-
J. Total skylight area............
' k. Total roof/ceiling framing area.... '
" '1.: Total net lnsulated roof/ceiling area '13
f
• Determine "U" value for each roof/ceiling segment.
. . ~ . X n U n ' . .
x. L~jl.lo x„U„
• 1. -134 ~~t"' g
~i .
4 . ................•.................Total 1-7 0
. . . ' l~- . • ' / '
If.ltotal of N4 is the same as, or less than N2, you have met the intent
qf,,SBC 6006 (c) 1. '
To uCi'lize the tot,al envelope system method, the valuea established by
te sum of items #3-and.N4, sha11 not be greater than the sume'o,f,items
,and': N 2. . ' ;
+ 2.
' 3, + q. s , , . .
Materials Therm. Resistance "R" '
Exterior Air
Siding Material
Sheathing ZOb : . . . • , ' r,
;Insulabion . Iq•o ' ' ,
. .
, .
Sheetrock : _ ~ " • , •
~ Interior Air . •
Studs
Rlm
' . , ;:Conc . Slks.
• . ' ~",5-f`jR,,p . ' 'r-,, O ' , ~ ~
RESIDENTIAL BUILDING
PermitApplication
"City Of Eagan
~,~3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consnucuon Reouiremenis RemodeLReoair Reouirements OKce Use Onlv
3 registered site surveys showug sq. R of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert o( Survey Recd
(20% maximum bt mverage allowed) 1 set of Energy Calculalions for heated additions Tree Pres PWn Recd
2 copies of plan showing beam 8 window sizes, poured fouM design, etc. 1 site survey (or additions & decks Tree Pres Not Reqd
15etofEnergyCalculaUOns AddAion - indicateilon-sifesepfiesysfem _On-site5ep6cSystem
3 copies ol Tree Preservadon PWn if bt pWtted after 7/1193
Rim Joist Demil Options selectbn sheet (bldgs with 3 or less units
Date le~ / Coostruction Cast
Site Address l~-t l1S ~r UniUSte #
Description of Plork lrl°,bIA 6 CI&O eivl~ J N/'n r!) S S/ZES
Multi-Family Bidg _ Y>~ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner r KP_ K U' IA 5 P Telephone ti
Contractor G- A!'N Q6Y' 4 FX he /(i/` (Q 4" S
Address City ~ 12q
State Zip Telephone #(i~) Io ~I S 3 6 8'a
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[eeorv 1 Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber r-. - ' Telephone ~
Mechanical Contractor 1 I Telephone )
I ~I I/11
Sewer/WaterContractor Telephone#( ~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ST~u1ni2 ('a v- [sa n .4~U~L4 /,c~t~r~l~'lvl
Applicant's Printed Name Applicant's Signature
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 Exl. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 78 Deck ? 23 Porch (screen/gazebo) ? 36 Mulli Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 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 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout to appllwnt
Valuation Occupancy MCIES 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.
_ Footings (deck) _ FinaVN'o C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _[ce Warer _ Finai _ Poot _ Ftgs _ Air/Gas Tesa _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Finat _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspectar
-
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search Copies
Other
Total
r .
~ For O(fice Use I
Clty of Ea~an ! Pe~~~~-
I Pertnit Fee: ~
3830 Pilot Knob Road ~
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 i i
Fax: (651) 675-5694 I Stan: I
I 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 -OQ Site Address: / /4 ` C~l
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address J City / Zip: [/(/~Ar .F/rP l~?iZ~~n,~
Applicant is: _ Owner XContractor TYPE OF WORK Description ofwork:~.-~
Construction Cost: Multi-Family Building: (Yes_/ No
CONTRACTOR Name: o? _ License
Address:
City: State: loo ZiP:
Phone: ~r7~`1v9~ I~7~ ContactPerson.E4G
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential VenUiation Category 1 Worksheet • New Energy Code Worksheel
C2t0gOry Submitted Submitted
5ubmission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the Ciry of Eagan issued a pertnit 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:
NOTE: Plans and suppoKing 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 lhat the are trade secrets.
I hereby acknowledge thal this information is complete and accurate; that lhe work will be in wnfortnance 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 pertnit; that the work will be in
accorda Ce with the approved plan in the wse of work which requires a rewew and approva f pla
X L 1 ~ e
ApplicanYs rinted Name Applic Ys Sign re
Page 1 of 3
, DO NOT WRITE BELOW THIS LINE
SUB TYPES
, CJ Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext Alt. - SF
? 02-Plex ? OS-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair V Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demohtion (entire building) - give PCA handout to apphcant
DESCRIPTION:
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25°!0_ 100°!0 ~ Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
7ype of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock '
Footings (deck) FinaI/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile ~
Other:
~ Roof: Ice & Water F'Flat~ Pool: Footings AidGas Tests Final
~ Framing p Siding: _Stucco Lath _Stone Lath _Brick
_ Fireplace:~R.l. Air Test N Final 1 r!! L~ Windows
Insulation ' Retaining Wall
Reviewed By: I Y"~/ , Building Inspector
RESIDENTIAL FEES:
Base Fee IZ f p~?~"~~r1 ~ ~X~~/~~n5
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge .
Treatment Plant
Copies
Total
Page 2 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4642 Weston Hills Dr
Lot: 6 Block: 2 Addition: Weston Hills
PID:10- 83750- 060 -02
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Fireplace (new)
Description: SEE COMMENTS
Census Code: 434 -
Zoning:
Square Feet: 0
PERMIT
City of Eaan
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA082731
04/25/2008
ePermit
Comments: 10/14 Kelly at KB2 Const. pulled a permit to replace patio door and fireplace on permit #82607. It was finaled out for the
door and the fireplace and that is why we are canceling this permit. pf
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prio
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Owner:
Michael A Kmse
4642 Weston Hills Dr
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
o final
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Date:
City of EaQall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
a(
Permit Fee: { o
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
'fG Ufa lil#s-fin) 14r;a4 #1.1;<'
Tenant:
Site Address:
Name:
Phone:
Suite #:
Address / City / Zip:
Name: (Th t QnC6VVPL � License #: 5 � �4
Address: 1X0 I" G'a—G P'(-*".- City:4/11441(74.
i
State: ""t Zip: r%- �j Phone: Le rl
Contact: /,/A- cAc_ Email:
New ,I\ Replacement _ Repair Rebuild Modify Space _ Work in R.O.W.
Description of work: R#4 cfar /�'� 1 .►t-'�
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x /24v'C•/
Applicant's Printed Name
FOR OFFICE USE
Required Inspections: :Under Groun
Meter Related Items:
x
Applicant'
ature
Read
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121902
Date Issued:04/18/2014
Permit Category:ePermit
Site Address: 4642 Weston Hills Dr
Lot:006 Block: 002 Addition: Weston Hills
PID:10-83750-02-060
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 -
Michael A Kruse
4642 Weston Hills Dr
Eagan MN 55123
Mastercraft Exteriors Inc
330 E Main St
Suite 600
Rockton IL 61072
(815) 624-6840
Applicant/Permitee: Signature Issued By: Signature