4816 Weston Hills Dr
, ~ ~
Wer#ificate nf cccupanc4
Wit4 of ftgan
mtparhnent of Vxi[i* audoectioa
Thes Certificate issued pyrsuaru to the requrrements of the UniJ'orm Building Code
certifying that at tlu time of issuance this slructure was in campliance with the various
ordiRarrces of tlu City regulating building construction or use. For the following:
U. C.lassificuion: SF M sWg. Permit No. 249q 1
ocapancy 7ypc RM I _ zoning Disn;u R 1 rype ca,st. Vt+i
ownn of Buildins 7601 1451H ST APPLE VAI.1EY
swwing Addms 48) N HIIM DRI{i,E - Lowity L5, B i. PM EDGE IST
We: ~ /I'D
Buildinb OfCrial
POST tN A CONSPICUOUS PtACE
, . .
INSPECTION RECURD
CIT1rjOF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i- Iti . ~ ~,ii I~1 I I'~ 1~~, t•t, ~,,_,t~r.r ~ i.~'.
PERMIT SUBTYPE: TYPE OF WORK:
.
, • ~ ~~'ir~i~,, ~ i ~~~.i ,
I
I rt Ir! A 1 t i?rt I f 1, t t I l+~ `
I N i i Io; III+ll il i~• , i
I:f Mt5lr! . i!,'',i . It I I f,. 1 f•. ~ .1,~~ { I it~~
I~ J
.
PermR No. Permit Holder Date Telephone 41
, S/W
PLUMBING ~ / y 1~1~ i(~'9• /8~
~r
HVAC
ELECTRIC
ELECTRIC
Inapection Dste Insp. Commsitb
Footings 1 ~ jl9r 7~7~
Foundatlon
/ 30 ~ ~ ~tiAe
Ffd~11in9 11CT ,X, rGrsT /~ldotK g~~?rt+.c C ~7 O
Roofing
Rough Plbg- `
Rough Htg.
Isul.
F?eplaos '3~ 9s
Finel Htg.
s'
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Conbt. Meter
EngrJPlan
Bldg. FirtW
Deck Ftg.
Deck Final
Well
Pr. Disp.
~l~~s ~
INSPECTIDN RECQRD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
? 1 tt! ur ~ ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . DA
, ~ . ,
F
~
L
Permft No. Ps?mit Holder Dato Telephona t
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL ~
0~ ~2-939 0 ~ a/U 0~°'~
illf _
Reques ete Flre Na. ougn-In Inspeclion equ' tl Inspection O[her T n Ra gh-In •
(VO must II Inspe[tor w~en ready) ~ qea0y No~v AI Notity Inspector
es ? N. Date Reatl
I ' ensed contractor ? owner hereby request inspection of ahove electrical work at:
Job Ftltlrau (Slree[, B or Route NoJ City
'o .
1Seclion o Town ' Name or No. Ran9e No. ~ Co ^
I~i.
~J ii aN
Ocaupam [PRIN ~ Phane Na,
(A ~
Pow uOPlier Atltlress
. ~
Eleclri I Comracror (COmpany Nama) Coniractors License No. ~
a
Meiling tlSdress ( Vactor o wner Making Installation)
?f
Authonzetl Signawre (COnVacror/Owner Making Installation) Phone mber
s i a y~ -5
MINNESOTA STATE BOARO OF ELECTFIqTV THIS INSPECTION REQUEST WILL NOT
Grlggs•MlEwey Bltlg. - Roam S128 I BE ACCEPTED BY THE STATE BOARD
1821 Univerelty Ave., St. Paul, MN 55104 1111111 II I I II I.I I I II I I UNLESS PROPER INSPECTION FEE IS
Phone(612)86Y-0800 ~ . ENCLOSED.
_Q_~D~p3~ftEOUEST FOR ELECTRICAL IN5PECTION ea-aoooi-os
~ n See insWCtions for compleling this form on back of yellow copy ~ ~
~ 9 y'S "X" Below Work Covered by This Aequest ~i:~~~Jal v
Ne dd ype of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Eleciric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specily) CoNrectofs Femarks:
Compute Inspection Fee eelow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps • 0 to 100 Amps
Transformers Above 200 Am s Above 700 _Amps
Si ns inspecmrs use oniy: 70TAL
Irrigation Booms 50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLHTED WITHIN 18 M ~ I, the Electrical Inspecror, hereby Rou9min ~
certify that the above inspection has Ficai oa~e -
been made.
OFFIGE USE ONLY
This requeslvoia 18 months hom
Address 4816 WESICIN HII,iS DRIVE Zip 5512 3
I.ot 5 Blk 1 Sub PINEs mcE lsr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: V14195 Yes No Inspector: ~
Final grade (6" from siding)
Permanent steps (garage) ~
Permanent steps (main entry) ~
Permanent driveway ~
Permanent gas ~
Sod/Seeded grass
TraiUcurb damage
Porch f
Basement finish
Deck ?
Please verify with the builder [he removal of roof cest caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before fteeze potential exists. ContaM engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
PERMIT c- A 3 5~i
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u r Lo i N s
Eagan, Minnesota 55123 Permit Number: 024991
(612) 681-4675 Date Issued: 12 / 2 9 J 9 4
SITE ADDRESS:
4816 WESTON NILLS DR
LQT: 5 BLOCK: 1
PINES EDGE 1ST
p.I.N.: 10-57690-050-01
DESCRIPTION:
B/uilding',Permit Type SF DWG
8uilding Wark 7ype NEW
~UBC Occupancy'\} R-3 M-1
f Construction Type V-N
/ Zoning R-1
i~ Building Length ; 64
Building Width 47
B~ildinq stories ~ 2
Sq~are Feet 2,109
\ >
1; ti-~ r~r~~,;}I r~
iJ
?~s-Y.,\/, ' i
REMARKS:
PRV S& W PLBR - FIVE STAR PLBG
FEE SUMMARY:
VALUATION $171,900
Base Fee $888.00 MISCELLANEOUS $1e828.50
Plan Review $577.20 Total Fee $4,179.20
5urcharge $85.50
5AC $80@.00
SAC ~ 100
SAC Units 1
Subtotal $2,350.70
CONTRACTOR: - Applicant - s7. LIC. OWNER:
MCDONALD CONST INC 14327601 0002376 MCDONALD CONST INC
7601 145TH ST W 7601 145TH ST W
APPLE VliLLEY MN 55124 APPLE VALLEY MN 55124
(612) 432-7601 (612)432-7601
I hereby acknowledge that I have read this applicatian and state that the
information is correct and agree to comply with ell applica6le Stata of Mn.
Statutes and City ofi Eagan Ordinances.
i_ 0 1 / J
APPLICANT/PE ITEESIGNATURE ~ ISSUEDeY: SIGNATLWJ
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BulLpiNG
3830 Pilot Knob Road Permit Number 024991
Eagan, Minnesota 55123 Date Issuetl: 12 / 2 9/ 9 4
(612) 681-4675
SITE ADDRESS: Lo T: s B L O C K: 1 APPLICANT:
4816 WESTOPI HILLS DR MCDONALD CONST INC
PTNES EDGE 1ST (612) 432-7601
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECT)ON . .A
FOOTING5 FOUNDATION
FRAMINfi ROOFING
INSULATION FIREPLAGE
OUGW IN PLBG FtOUGH IN HTG
FINAL PLB6 FTNAL
REMARKS: PRV 5& W pLBR - FIVE 3TAR PLBG
. . ~
I
' J
~
CITY OF EAGAN 1894 BUILDING PERMIT APPLICATION 14q ~ 681-4675
-
~ OU 1,~~/
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site urveys, 1~o f energy
calcs. U~C 2 1 1994
COMMERCIAL 2 sets of architectural & structur 1- Lans,_1 set of
specifications, 1 copy of energy ca cs.
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 q 4 Val uati on of work I Q 74 9`I S
Site Address: 4g/6, UJ eAo.,.. 1,IL
STREET SU(TE #
Tenant Name: (commercial only)
LOT S BLOCK ~ SUBD. P.I.D. #
Descri tion of mork: W
The applicant is: ? Owner KContractor ? Other (Oeseribe)
Name Phone
Property LAST FIRST
OWn@P Address
STREET STE #
City State Zip
Campany < p s T Phone N 3a ' ?(~a(
Contractor Address Xnr JqST, A W"1 ` License #000237(- Exp. -
City .9'de+Y State ~ Zip ss~a<I
Architect/ Company Phone
Engineer Name Registration #
' Address '
City State Zip
Sewer & water licensed plumber -'vE n ~ , 37 lo2-f~tL. Processing time for
sewer & water permits is two days once area has been Oproved.
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: Ocz.L--~-~ P"U.e.p
OFFICE USE ONLY BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
A(02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Paol
? 03 Sf Addition ? OS 8-Plex D 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex p 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 13 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition 0•34 Repair ? 36 Mave
GENERAL INFORMATION
N Basement sq. ft. ~ MWCC System
Const. (Actual) t_,~
(Allowable) ist F
1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. tatal Booster Pump
# of Stories zwLFootprint Sq. ft. z,ioq F9re 5prinkler
Dep9hh ~ On-site sewage SAC S ode
Code
APPROVALS eensus Undt
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site ff Faoting AEI-Framing EY- Insulation
? Wallboard 12~-Final ? Draintile ? Fireplace
~s
Permit Fee v,i„et;ao: g / 71, op0
Surcharge
Plan Review i'=F•^°-
License SX,y , 70 MWCC SAC
C i ty SAC 9•J"F yb `~J ~
Water Conn. si = s~~ 77,7A
Water Meter ,o x 3L =?z~ jzo,s~'s
Acct. Deposit ° oy
` 73,G `
S/W Permit 3&3 511
S/W Surcharge
Treatment Pl. z
Road Unit zox 3l = 6 yo
Park Ded. zf 20 ° yo
Tra
Copies ~ x zo = z~ .3JX 13 = y
Other y;sx yb =4'77 '33 r iz - Y
Total: Is.sx 97 . b 0 x
SAC % S x 3z 00,0,
rm,rr ~3>
SAC Units
9$ > /LoL Yf'~ `
4ix 7. r>
= C b> G y 9og -
,
' I
2422 Enlerprise Orlve ~
Mendota Helqhts, MN 55120 I
P,O~ (612) 681-1914 FAX:681-9488 ;
y 1X10 SVRYETOpS . QNl LNGWEEM
T lhNO ~NN[q5. LIWOSGI?F AflCMI'IEC7$ 625 Hlghwoy 10 N.E. •
* snp nesr n~ Bloine. MN 55434 ~
~c ~ (612) 783-1880 FAX:783-1883 ~
~
Certificate of Survey for: MCDONoALD C ONST ;
I
4P, z7..!r ~
'00.009so,oSO°18'08"E
951.1 ~
F. E.S.
NV.=949.2- 0 %
N Cqk`I 3)
- - -
0 8 UTIUTY EASAENT FER PLAT~S W
Z W _
10
W uN'~ 9525X x~3. U)~I SD L-fi c/l ~iJC
y J~ (9 S'~ ~Ar W tA'rM Gti CnM
faco . 18.0 -~r- DECK ~_I8_00 ~953.13
:o 953 I y 0 .14.0 q
0m 2 ~ 953.9 N r ~ Z
20.0 12.0 953.7
N /
4 \ ' °i~ 6
in I I956.5 PROPOSED Q I k,
HOUSE o m
M n
Q 13,0
o "T <0
i
1Q G A R 0.G E 31.67 957.0 ~
o
01 ~ /m • 76107 I ~ ;
~ N
I .1800_ 20.33- iB.00- 1 ~~~NCN M4RK
BENCH MARN N I "g~gg(%1~~3 95&4
1
TOP OF PIPE_~ ' I ( 1 5 70P OF.PIPE
ELEV+958.80 0 10 ~ j ORIVEWAY 0 ELEV.- 958.10
0
o L
1 --~-J ~ ~
~.I 1q5~.¢~~ o SERVCE ~ ;
IN?=94fi9 ~GIS ~O~
~ E V I~. N1~ E. Bd' 95fl4 K - IOO.OO $Q*18'08~~E 956, 1
(957, 11 (95fi8) ~
ir M ~ (9563) -pROPO5E0 CURB
!ATE HILLS ~ DRIVE
WESTON (UNO
Z ~
poG°~oNlo
, EAGAN ENG ~'ERIPdG D ~ FT.
pqpppSED p1ApES S"OMN PtR CR/D1N0 PIAN 8Y: PIONEER
NOIEt BU0.DMG d11F]190N4 9i0MN ME FOR HOR40NfAL AND KRIICIL iW5 CERili1G'rt DOES NOT WFlPdiT i0 910W EASfLENiS
LOCATION OF SIHUCMES 0lLLY. AE MQIIICCN/L PIJWS FIX! BURDINO 0MER 7HAN iH06E SIONN QI 1/1E fIECOROEA WAT.
MID FdMDA11p1 dYFN9dIS
r,oh; ooNTpAc+on wsr "Fr omMAMr oesai. SCALE : 1 INCH = 30 FEET
HOtE NO 9['QnC 9015 04VES11CATON HIIS B!?]! OOINICIlD ON 7M15 BEMING9 910YM ME ASS111AED
wr er nK sirtWraa nK surAmurr ov saa.s ro xWroar me
SpEdi1C MOVSE PRaPOSfD 19 NOT ME RF3PON99l1fl' Of NE sMNCYOR• pgoposrp uMISF ELEVATION
xppu,oo Denotes Exlsting Elevutlon Lowesl Floor eievatton• r1~31D
( poo.oo ) Denotes Propoaed Elevallon '
Denotes Drolnaqe k Utlllty Eanement To of Block Elevatlon: 9qi,~
Denotes Drolnage Flow Dlrectlon P
~0--TDenolea Monument
9 Denotes Offaet Hub Garcge Slab Elovution: g~01~1
~
WE HEREBY CERTIFY TO MCOONALD CONST. THAT iHIS IS A TRUE ANO CORRECT
REPRESEN7A710N OF A SURVEY OF iHE BOUNDARIES OF:
LOT 5, BLOCK I , P1NES EDGE IS7 ADDIYION
OAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT 70 SHOW IIAPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SFIOWN. AS
SURVEYED BY ME OR UNDER MY OIRfiCT SUPERVISION THIS /16T_H OAY OF OEC.~ 11"', 1994 .
91GNE0:~ F10NEER EACINEERI , P.A.
e~ ~
John 0. unon. LS. e. No. 19 8
• , LOT SURVEY CHECRLIST FOR RESIDENTIAL
~ BDILDINO BERMIT 71PPLSCATI N
~ PROPERTY LEGAL2
°T-
~ Dat• of survey: ! G
DOCIIMENT BTANDARDB
Hr D 0 • Registered I,nnd Surveyor signature and company
0 0 • Sullding Permit Applicant
0 0 • Leqal description
n~ a o • Aaaress
VD 0 • North arrow and bar scale
LA~ Q 0 • House type (rambler, walkout, cplit w/o, split entry,
lookout, etc.)
C~ 0 0 • Directional drainage arrows with slope/qradient
C~ D 0 •Proposed/existing cewer and water services
~,0 0 • Street name
~ p 13 • Drivevay
ELEVATIONB
txiatina
lr D D • Sewer service
0'~D 0 • Lot corners
Fi' 0 0 - Top of curb at the driveway
D El0 • Elevations of any existing adjacent homes
proooaed
0"D D • Garage floor
V 0 0 • First floor
2-*~D D • Lowest exposed elevation (walkout/window)
0 0 • Property corners
V0 0 • Front and =ear of hcme at the foundation
pONDING 7?REAB fif aRaiicable)
D r0 • Easement line NWL
.
13 ~0 • HWL
0 I~ 0 • Pond # designation
• Emergency Overflow Elevation
a=rExs2rnvs
, F1~~ 0 • Lot lines
g~ D 0 • Right-of-way an8 street width (to back of curb)
B' D 0 • Propose6 home dimenalons including any propose8 decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requirinq permanent footings)
~ D 0 • Show all easements of record and any City utilities within
those easements
ar,,D D • Setbacks of proposed structure and setback of adjacent
/ existing homes
D D~ 13 • Retaining 1 re irements, if any
Reviewed:
ame / Date
October 1992
. _ .
MH STA. 4+36 I
: -
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-
r'_---- - -
- HYDRANT ' '
I
8" PLUG 8"x 6" TEE
'
I ~
11'76"DIP, CL 521
4 ~ ' ; 1, GND. EL. 956.4 I ! ~
s= 0+501 ! 5 6 i; 7
INV= 947.611 j I I S= 0+37 S- 1+37 S= 2+37 j
, ; ;
''25 CS= 957.61 ; INV= 946.9 INV= 946.1 I N V= 945. 3 ~
' ~ I
' ' CS= 956.1 CS= 955.
CS= 956.9
- 8"-11~Y47 B~ND ~ -
~ ~ ~
~ ~ -
i
a
3} -
,
,
. , - ; ~
, , ~ ;
8"X6"TEE S= 0+35 I;`•..~ 1+25 ; j S= 2+12 ;
6'pGV INV= 945.5 ~ i
S= 0+24 INV= 946.9 INV= 946.2 CS= 955.5
{ CS= 956.9 I I CS= 956.2
' INV= 947.8
' "GVS= 957.8
,
i 8„-11 1/4 BEND
_
A. 3+32
' MH STA:'2 32.36 ~
~ 4
3 -
~
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T'CAP / NOTE:
~ a j LOTS 2,3,4 S,..B~9Gi<--~-~~WER_COPPER
~ SAN WM BY OTHERS SERVJE€S TO MAINTAIN 2' SEPARfl710N
w .~---F'ROM STORM SEWER AT CROSSING
/ ~ I - I \ ~
ELEMENTRY SCHOOI. #18 \
'1'C;E Ci i Y QF EnC-F',id DOES P!f? i C-UP.:lk! ifl:
i NE ACCi!?ACY OF Ul'll.lTl LaCAT10tiS
ANDffl^ ~=LEVATIONS. TNIS DATA IS rOR
PURPOSES OfULY AND
H I LLS D R I VE o~ 51~E LD V-r:-Y THE
: : : : _ : -
. . . .
.
.
MH RE=962.56
. , .
2 BLD=21.30 MH RET957.82
, . . . . 4 BLD=15.53 . . • . .
~ . . . ; . . _
MH ' RE=958.88 . ~
MH RE
. : . : . .
3 : . BI.D=]7.08 -957:03~
. . . . . . . . ~
. . . .
. . 5 .QF p=t4.23 :
. . 5E :WM: TO 355.75, ' . .
RAI
AT STORM; CROSSING . : . : EX!STING (
\ . . - : . ~
. : . • 1NSULATE aNiTH 64 LF., . . .
~ • . . 4•z 4'x S': RIGID STYROFOAM . . . . . . . . . . . . . . . . .
~
A.:....:.::.:.......:.
. . . . . . . .
. . . . . . •
. .
7.5' M4N.
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• . . : : :
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: • ' . ~ti •
. .
. . . - . . . . T~Z`C 52 .
. .
.
: o +o . . : : : _ .
. . . . . . . .
: @ ~ : . . . . . 948.53 • • ;
. . . . . . . .
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: : . • . .
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.
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.
. .
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. (D in
• • 90~4~-8"PVC SQR: 35 :
. • : .
. ~ g 'IOd:-B"PVC S~R 35 . . ~ 0.40%a .
107'-8"RVC.SDR 2 . . . . . . . . . . . . . . : . . . • • ' . . :
p()T c~:~n~~~l ~E~ .
. ....:'~'0:40~';..._. . . ~ .
. . ~ . . . ,
. . . t r,CY OF UTILITY LOCATIOAdS .
. .
: . . : bR`f:a IS l=OR : .
. . .
F,T~~SJ PUFi.P05ES C~PdLY AND
~
..N~ .
. . . . . . . . ~ • ~a~o rn _ ~ PEl~SO,r;,~ t}~lo IT:$HOULD V~~Ei~Y ~T . .
. SI~E• . . :
N i0. • 1`- 00 . . . . . C.Jj. y : . (~Yy N . . . IF NTH~
, ~ , . . . . - . . . . . , fy ~y • . . . . . . . ' V V . . . . . . . . . . . `I ' . . . . . . ' . . . . . . . . . . . . - . . . .
V, .V . . . . . . fY /Y. . . - . . . . . . . ~ . . . . . . - . . . v' V/
~T . . . . . . . . . . . . . .
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• . . , . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . - . . Z Z' • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~ ~ . . . . . . . . .
SIGN MAFZKEk
• , ' , . . . ' ~ d
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C8M ~ STA.4-4-05
16 L
i i
~
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~ CBMF CE STA. 4+05
110 1 gr R
.
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F: . .
v.
. . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . .
, . . . . . : . . . e H-C.cf`i Y mr EACAN ~)OES hioi' C:aJAPAhJ i E17- • : : :
THE* Af;CysR/i;Y 0F
UTILITY. L:UC~'rMOII.ro : : : . .
. . 'I D``?s°~ "d? EV;aTlqNS); THIS C?Ai:A iS FC9 ~ . .
. . •
0` PUt~.RPt7SES . G.tL't ,'~fLvD • .
*fy., . '1~~f~~.i~~!_1 ...i•~l '~I1. :
. ~i i.l~i4li~ It_Ir; i...l . . . . . . . . . . . . . .
~ry,: . . ~ . ' ' ' . : . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . : ~ . .
.#i.. . .
.
. BNI RE= 956.64
BLD= 8.0 .
. B
.
. . : • ' . M RE= 955.64
BLD= 8.05 : ; . . :
. . • . . .
. . .
. . . . •
. . . . . . . . . ~CBMI-4 • •Rc=. .95664 . . . . . . . . : . . . . . . . . . . . . . .
. :
, .
. . . • 110 :BLD_ 8.14 ,
, . .
.
. .
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: . . . . . . . • . .
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FES . . . . .
: • . :
".WM. XING.
_
S . . . . : . . . : : : . . . . - . . . . . .
• : 137'-15" RC~ CL. . . . .
: : . .
. .
. : . . N.W.L:=: 949.L3 . . . _ : . : . : .
: . • ~ . .
. . . . . . . . . . :389' -15". .RCP CL,5 0:0.3C
. • . . . . .
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. . .
. . : . : . : . . 31'-15° RCP CL..5 . : . . . . . . . .
. . 0:30% .
. .
. TIE LAST .3 . JOCNTS . . .
. . .
.
S"SAN XING
. : ; : : : . . . . ~ : : : . : . . . ' : : . : . . ' ' • : t k C . ~f Gr:N DE3~~ C'ft ~ ri.I1: ;A~' ~ ~
UTILI IY . i OC P,.TI0~~;.> :
t1EJ,ailO~S THIS t?~-` ~ 1 I i ~
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. : : . : . ' ` t~':i9+~! : : P. ~,POS~S C, -L`' r~~L~ ' - • -
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HII'LHFdSOTA STATE ENERGY CODE CALCULATIONS
• BASED ON CHAPTER 5 OF THE Q
MODEL ENERGY CODE - 1983 E ITION Se7
Adoption Effective
Owner Phone Date
Site Address
contractor ~A L~ l•Dl~/~~ ' Phone
Building Classification: Type A1 (Single Family & Duplex)
Type A2 (Residential, 3 stories or less) (over 3 stories) (Other)
NOTE• Complete pages 3 and 4 first.
C3ENERAL INFORMATION
1. Huilding Perimeter~~+ X1""~t F
i~~ ft.
2. Wall height (ground to eave) r7 ft.
6 3: 1. )C 2. (above) gross wall area l/J5~ sq.ft.
4. Buildinq dimensions (L) X(W) =_..144q--sq.ft.roof & floor area
5. Sq. foot area of rim joist - Floor joi t size (2 X
1~ X 4flL- (Perimeter) _ sq.ft.
6. Doora - Area
Thickness in U. factor y, 4
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter ft.
B. Windows: Manufacturer~l~litl(. State approved
U factor
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
i I EACII UNITS SQ FEET
''r,~Q~.
9. Total sq.ft. Glass 1?1
10. Fireplace area: Width X Height = X = sq.ft. ,
11. Exposed foundation: Height X Perimeter.lo7 Xsq.ft.
C011PLETION OF TlIIS FORM I3 REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED WftERE ENERGY, OTNER Tf1AN TI{E MINIMAL
CODE ALLOWANCE, IS USED.
-1- ,
12. Framing area = 10% of qroes wall erea.
13. Groas wall area 5/ sq.ft.
Window area A-42Z-sq.ft. U windows =,?i6~, UxA = 1 d
Rim joist area A419Z~ sq.ft. U rim joist= UxA =
Door area A 'rll sq.ft. U door srea=UxA
Other doors area A40 sq.ft. U other doore= UxA
Exposed fndn Asq,ft. O foundation=.oA7 UxA
Framin9 area A S ~
sq.ft. U freming areaa ~ UxA =
Net wall area A22d(o, sq.ft. O wall= 49fl3 UxA
(13B) TOTAL . . . . . . . . . UxA
14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (otlier buildinqs)
x .28 (OVer 3 etories)
BTUti must be larger than or same
A x U Code • _ °F. as 138 above
15. Ceiling fratning area (Af) equele 10$ of ceilinq area
15A. Gross ceiling area =(L) ~ x(W) _14,sq.ft.
15B. Joist area (Af) = 10$ ceilihq area sq.ft.
15C. Net ceiling area (Ac) (15A - 15B)
U ceiling x Ac ,9 x .~>7 r= 2~
U framing x A f x
15D. TOTAL U x A ..................I
16. Ceiling area (15A) x 0.026 (A-1 sinqle family & duplex)
= allowable UxA/Code
x 0.033 (A-2 other residential)
x 0.06 (other)
BTUIt must be larger than or same
A( 15A)~_x U Code nl °F. as 15D above
NOTE: Use U anil A values obtained from pages 1, 3 and 4.
CE$TI.FISATLQ13: I here6y certify that I have calculated the "O" factors and
"R" values hereLn and that the buildinq here described meets or exceeds the
State of Minnesota Eriergy Coneervation Act.
Date siqnature
-21
PERMIT Ci2044Iq c 8'
~ CITY OF EAGAN
3$30Pilo"tKnobRoad PERMITTYPE: BuzLoxNG
Eagan, Minnesota 55122-1897 Permit Number: 025962
(612) 681-4675 Date Issued: 0 7/ 0 5 J 9 5
SITE ADDRESS:
4816 WESTON HILLS DR
LO7: 5 BLOCK: 1
PINES EDGE 1ST
P.I.N.: 10-57690-050-01
DESCRIPTION:
Bti~ilding ;Permit Type DECK
:BUilding tiJ'o„rk Type NEW
;
,
„i
a,
~t -c-- i - .
k.. '
' _ , . .
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY $.50
Surcharge $.50 Total Fee $31.00
Subtotal $30.50
CONTRACTOR: - flpplicant - ST. I.IC. OWNER:
ARCHADECK 17227290 0008594 PARKS JOSEPH
2236 43R0 ST E 4816 WESTON HILLS DR
MINNEAPOLIS MN 55407 EAGAN MN 55123
(612) 722-7290 (612)322-1036
Z hereby acknowledge that S have read this applicatian and state that the
i; information is cbrrect and agree to comply with all applicable State of Mn.
3tatutes and City ofi Eagan Ordinances.
o• ~n
APPLICANT/PERMITEE SIGNATURE ISSU V SIG URE
»i
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 025962
Eagan, Minnesota 55122-1897 Date Issued: 0 7/ 05 / 95
(612) 681-4675
SITEADDRESS: P'I•N.: 10-57690-050-01 pppLICANT:
LOT: 5 BLOCK: 1
4816 WESTON HILLS DR ARCHADECK
PINES EDGE iST (612) 722-7290
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTiON .
FOOTINGS FINflL
F
'
~ ~
L
CITY OF EAGAN
I3830 PILOT KNOB RD - 55122
149L 1995 BUILDING PERMIT APPLICATION RESIDENTIAL
( )
681-4675
New ConsWdien Reauiroments RemodeUReoair ReauiremeMs
* 3 mpiaterod aite swveys ? 2 copies ot plan
? 2 copbe W plens (indude beam & window aizes; poured fid. design; etc.) ? 2 ske surveys (exterar addRions 8 dedcs)
* 7 ensrpy calculations ? 1 energy calwlaGOns for tieated addRions
? 3 oopiea of tree preenation plan ff bt pletted aftar 7/1/93
, fequired: _ Yea _ No
DATE: (O- a--7 -~I `7- CONSTRUCTION COST: 12.1~~ ~
DESCRIPTION OF WORK: ~
STREET ADDRESS: g ~ Vje?,Tm 1 S-T~•
LOT 7' BLOCK SUBD./P.I.D. ~ I~D1-~jju- I II
PROPERTY Name: Phone 32Z`~fl3~°
i OWNER "s*
Street Address,
~
City: State: Zip: ;S ~ I L3
CONTRACTOR Company: Phone 7 Z1• 2/6~
Street Address: a-~-~ ~ ~~~9 S 1• License
r
City:~~ State: Zip. `~r7
~
, pRCHITEC7i 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.
1 hereby acknowledge that 1 have read this appliqtion and state that the info ation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. -
Signature of Applicant
Z-f
(
OFFICE USE ONLY CE9VI~D
Certificates of Survey Received _ Yes _ No JUN Z B 1995
-"-Tree Preservation Plan Received Yes No
i
I _
OFFICE USE ONLY • '
. .
BUILDING PERMIT TYPE ' - "
? 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF AddRion o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireptace o 21 Miscellaneous
0 05 SF Misc. 0 10 _ plex 69~1-4 5 Deck
WORK TYPE
M-131 New o 33 Alterations ? 36 Move
n 32 Addition o 34 Repair a 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkiered
toning sq, ft. PRV
# of Stories sq. ft. Booster Pump
Length sq, ft. Census Code. 'Y3Y
Depth Footprint sq. ft. SAC Code o/
Census Bldg /
Census Unit ~
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ le-Ca ~
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Pertnit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies S O
TotaL•
% SAC
SAC Unita
~y~, «e
a lb 4S"
~\p:m'°l- n, . .
2422 Ealerprlse Orlve
MenOola Hefghte. MN 65120
v~ w"ra+s . rn+L cWINn" (612) 681-1914 FAX: 681-9498
Y~~~ uw wiwas. iwr.uPC Mcwiccn 625 Hlghway tU N.E.
1} * 81oine, MN 55434
(612) 783-1980 FAX: 783-1883
Certificate of Survey for: MCDON/!LD COPIST.
4016 WES70N NILLS DR
L_ P' Z -7 ..S, . : _ .
~t . w L tI 9.C~ - ,
050•4
~
S 0°i8'OB"E
F.E 9
.S.
N ~ N l
w W RAWAGE 9 UTIUTY fA54rENT PER PLAT~ 5 W
~O~ fy .
i ~,r
9525x ~
x~3. i/ L/I 1'~fJZ:
X J tiv.~
W~'
, F . . ~ 5 ~At ~1 cA~?'w c:~'~'c~'
ya~ -18A . ~IA00 ap953.{3
953, 0.14.0
1 Z
q 953.9 N20A 12.0 953.7
; 4 6
PaoPoseo
J5G.5 o MOUSE 'O I M
Q „i~0 vO
Q o _ 31.67 < 0
GARA6E 957,0
.1800- ~ 20.33 " 10.00 - ~ .
: OHNCH MAkK --"-lc--
t 956.5~v~958.4
TOP OF PIPE ~I ~-N£NCN MARK
ELEVr958.80--r pI L PROPOSEO 1. 70P OF.PIPE
o 10 I 1 DRIVEWAY r-~ IS q ELEV.z 956.10
' fRS~•4)~\; L SERVCE ~ ~ j
-.t~A G A K~h [Wrs4e9- rysG.~~
ft E V I E l~ E-[~s sa4 - 100.00 SO° 18'08~"E 958. t
(957,q (9566) . ?9r..3 X-~~sH~yO
iY " GB. ' (9 'PROPO5E0 CURB rmi)
Z7 FY (UND[R coNsr:-
iA7C lNES „ t ON HILLS t,L7FtiVE
~
~
~ .
\9. REQUiREL Da I
EAGAN ENG ~'ERING D PT.
pltOpp= cpAOES 5110Nt7 PER CQAdNO RAN W. PIONEER
!
NOTEi BUNDRIG dWN90N9 SNOMN ARE FO1 MORIZONTAI ANO VENncAL 7X5 CFR1Ii1CAlE OOFS NOT PIIRPOR7 Tb SNOW EA§fLEl/t5
I.OCArIOH OF SIfNCMtk.T' OtAY. SR MCMRCN/L PIAHS FVR BIIRDMO - OTIER TMAN TMOSE SHONM WI 7ME RCtVNDCD OIAt.
MN fDUM0ATd1 dYtN90N9. tan- o"ArronwsT w:mFronMV+AroMa+. SCALE : t INCH =30 FEEi
rwx: ao sscanc saxs ofliMMncAnaN Mns MTN rnmu7rn ow Iins ecumus srowt uRe Asiwta
wr ev n+e s,avcYM TMt suruwx OF saas ro wrncwr nHc
FECIAC NOl15E PPOPOSED 19'N0~ 71R.~PON90liTY Of 1HE 9NIYEldL ~ . , . ' u'~ y' ' . ' .
F~..._.. . : . - - , , . , . ; PROPOCED HOl1SK 4lk'~VA7iON .
X poo.0o Denotea Exlaling Elevation .r
( Ooo.oo ) Oenotee Proposed Elevatlon Loweel Floor Elovallon: ~~73iD
OcY+otos Drotnaqe k Utlllty Easemrnt To of Block E1evatl0n:
Denotoa Drainage Flow Olroctlon V
.-o-'. Denotaa Monuinent Gara e S1ob Elovotfon:
--o- Denotea Otfeet Hub 9
' WE HEREBY CERitFY 70 MCDONALD CdNST, THAT 7HIS (S A TRUE ANO CORRECT
REPRESEN7AT10N OF A 5URVEY OF 7NE BOUNOARIES OF:
~ LOT 5, BLOCK I, PINE5 EDGE IST ADDI710N
OAK07A COUNTY, FAINNESOTA
~ fT OOES NOT PURPORT TG SHOW tMPROVEMENTS OR ENCHROACHMENTS, EXCEP7 AS SHOWN. AS
a. SURVEYED BY ME OR UNDER MY OIREC7 SUPERV1510N iH1516t.H DAY OF OEC. 1994 .
W 1 /
~CNEO: PIONEfR, ENCINEER~ P.A.
1...~.-.
{ BY: „ r
John C. arsql, I.S.M e: o. 9 6'r . . • _ .
..~t. .r _ . . . . .
1 • ._J . . ..,r:•:, . ' i . _ . - . . .
• ABBOTT, ROBINSON & ASSOCIATES, INC.
/ C1VIL ENGINEERING AND BUILDING CODE CONSULTANTS
~
TWIN CITIES 5389 RIVER WOOD ORIVE SAVAGE. MINNESOTA 55378 (672) 940-2574
SOUTHERN MINNESOTA 1321 OXFORO STREET WORTHINGTON, MINNESOTA 56187 (507) 378-6266
June 25, 1995
Bill Mensch
Archadeck of the Twin Cities
2236 43rd Street East
Minneapolis, MN 55407
RE: Cantilevered double 2 X 10 beam
Dear Bill:
At your request, I reviewed the structural stability of the
cantilevered double 2 X 10 beam for job # 95-76-33. The
plan showed floor joists extended out 12 feet from the house
and an additional 2 feet cantilevered over the beam. Southern
yell~ uine with a minimum bending stress of 1050 psi, s- iear
stress of 90 psi and modulus of elasticity of 1.6 X 106 psi
mus b used. Extending the beam out from the post a maximum
of 2.~feet will be structurally adequate and well within
the allowable stresses of the builning code as weli as
within the maximum allowable deflection of L/240. If you
have any questions, please give me a call.
5 ere
'A~~rv"`
G ne'J. Abbott, P.E.
Registration # 22106 f~1/•
t~5t ~
~"os
IV
a"
~
.~e
a s ~ FM ,~'~y*~-'
F
w ' . , . . : .<< t z .x.s.H';.,.a..< F. >7 or.n . u . a . .c . °r t;.. N . ii
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
~ 3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
~ NEW CONSTRUCI'ION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE / - 3 - 9 5
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ $3.00 EACH) 3 3co
ADD-ON/REMODEL (Exis'rING CoNSTttuCTtoN) 2f1:oT_
STATE SURCHARGE .50
To'rAr.. 33. D
~
, STTE ADDRESS: ~~~k a455~pN #16GS
OWNER NAME:m CA,/Jti'A'~ 6x/sr TELEPHONE Y~ `2 - 7601
INSTALLER: 61/rkOLCEb 47K
'ADDRESS: ~D9 2Na ST CITY: r_A9mlid G rbn/ STATE: My ZIP CODE: 5562 y
TELEPHONE
' SIGN RE OF PERMITTEE
. ~
5
Si
. a . .j '
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RI3
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUII,DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
- - - - - - - - - - - - -
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CL;T~ FEg $
PROCESSED PIPING: $25.00
MTNIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF P,PRI4TIT FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CTTY INSPECTOR
_ !
~ L BL CITY USE ONLY
RECEIPT
SUBD. ~ , i~ d DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
' (612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x d6
Water Closet 3.00 x = S~. 46
Bath Tub 3.00 x = du
Lavatory 3.00 x
Kitchen Sink 3.00 x = ~ d 6
Laundry Tray 3.00 x = 3• d6
Hot Tub/Spa 3.00 x = 3, 00
Water Heater 3.00 x 6,00
Floor Drain 3.00 x = 6,06.
Gas P"tping Outlet ` minimum -1 3.00 x = 4.00
Rough Openings 1.50 x Y,sn
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. $prinkler * home under const. 3.00 =
Alterations * to existin9 20.00 =
Water Turn Around 20.00
^ STATE 5URCHARGE .50
TOTAL
SITE ADDRESS: Y~\` I~ U~~~Ctch 1~t i 1IS 7~-~r OWNERNAME: I ,,/rno/a ( nn~rrnc~rldn nC .
" INSTALLER NAME: / `UvrJ' KG I11G
STREET ADDRESS: (~-I've.~-vG ~ CITY: a d dG~ STATE: ZIP:
PHONE ( ) 7 1 `J &a~O %
~
CITY 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 for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% ot contract price, whichever is greater. State surcharge of $.50 per
$1,000 of ermit 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 CITY OF EAGAN
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105222
Date Issued: 07/03/2012
Permit Category: ePermit
Site Address: 4816 Weston Hills Dr
Lot: 5 Block: 1 Addition: Pines Edge 1st
PID: 10-57690-01-050
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Property Claim Solutions LLC SARAH WENTE
2005 Pin Oak Dr 4816 Weston Hills Dr
Eagan MN 55122 Eagan MN 55123
(651) 994-2028
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA119098
Date Issued:11/14/2013
Permit Category:ePermit
Site Address: 4816 Weston Hills Dr
Lot:5 Block: 1 Addition: Pines Edge 1st
PID:10-57690-01-050
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures-basement finish
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.
Fixtures:sink, shower, toilet
jeremy kuker
4816 Weston Hills Dr
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sarah Wente
4816 Weston Hills Dr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA119099
Date Issued:11/14/2013
Permit Category:ePermit
Site Address: 4816 Weston Hills Dr
Lot:5 Block: 1 Addition: Pines Edge 1st
PID:10-57690-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
jeremy kuker
4816 Weston Hills Dr
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sarah Wente
4816 Weston Hills Dr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
NOT WRITE BELOW THIS UNE
Rm<
•►15 Dry
vatiation
R5.-7OUR ED INSP EC TIONS
Ewes
TOTAL
Sim S
Storm ijama2.!
oir 151I -191e
aurprolmh
Darrgage
t 2 »J2 _ -nts
Rooster
riders
C.Q. Ketiutred
Rackf
c/Wer69-0=